district health action plan - state health society...
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District Health Action Plan MUNGER
2012-13
Prepared By Submitted To Mr. Vikas Kumar (DPC) SHSB, Patna DHS,Munger
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District Health Society, Munger Table of contents
Foreword
About the Profile
CHAPTER 1- INTRODUCTION 1.1 Background
1.2 Objectives of the process
1.3 Process of Plan Development
1.3.1 Preliminary Phase
1.3.2 Main Phase - Horizontal Integration of Vertical Programmes
1.3.3 Preparation of DHAP
CHAPTER 2- DISTRICT PROFILE History
Geographic Location
Govt administrative setup
Administrative units and towns.
District Health Administrative setup
Munger at a Glance
2.1 Socio economic Profile
2.2 Health Profile
Indicators of Reproductive health and Child health
2.2.1 Health Status and Burden of diseases
2.2.2 Public Health Care delivery system
2.3 Map showing specialist doctors position
2.4 Map showing PHC and APHC locations
2.5 DLHS 3 data
2.7 Zinc & ORS Programme
CHAPTER 3- SITUATION ANALYSIS 3.1 Gaps in infrastructure
3.1.1 HSC Infrastructure
3.1.2 Services of HSC
3.1.3 HSC Human Resource
3.2 APHC
3.3 PHC
3.4 District Hospital
CHAPTER 4-Setting Objectives and suggested Plan of Action 4.1 Introduction
4.2 Targeted objectives and suggested Strategies
4.3 Maternal Health
4.4 Child Health
4.5 Family Planning
4.6 Kala-azar program
4.7 Blindness Control Program
4.8 Leprosy Eradication Program 4.9 Tuberculosis control Program
4.10 Filaria Control Program
4.11 Institution Strengthening
4.12 HIV/AIDS
4.13 RI/MUSAKANProgram wise Budget
4.14 CHAPTER-5-Annexure
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Foreword
Recognizing the importance of Health in the process of economic and social
development and improving the quality of life of our citizens, the Government of
India has resolved to launch the National Rural Health Mission to carry out
necessary architectural correction in the basic health care delivery system.
This District Health Action Plan (DHAP) is one of the key instruments to achieve
NRHM goals. This plan is based on health needs of the district.
After a thorough situation analysis of district health scenario this document has
been prepared. In the plan, it is addressing health care needs of rural poor
especially women and children, the teams have analyzed the coverage of poor
women and children with preventive and promotive interventions, barriers in
access to health care and spread of human resources catering health needs in the
district. The focus has also been given on current availability of health care
infrastructure in public/NGO/private sector, availability of wide range of
providers. This DHAP has been evolved through a participatory and consultative
process, wherein community and other stakeholders have participated and
ascertained their specific health needs in villages, problems in accessing health
services, especially poor women and children at local level.
The goals of the Mission are to improve the availability of and access to quality
health care by people, especially for those residing in rural areas, the poor,
women and children.
I need to congratulate the department of Health and Family Welfare and State
Health Society of Bihar for their dynamic leadership of the health sector reform
program and we look forward to a rigorous and analytic documentation of their
experiences so that we can learn from them and replicate successful strategies. I
also appreciate their decision to invite consultants (NHSRC/ PHRN) to facilitate
our DHS regarding preparation the DHAP. The proposed location of HSCs,
PHCs and its service area reorganized with the consent of ANM, AWW, male
health worker and participation of community has finalized in the block level
meeting.
I am sure that this excellent report will galvanize the leaders and administrators
of the primary health care system in the district, enabling them to go into details
of implementation based on lessons drawn from this study.
Mr. Kuldip Narayan (DM, Munger)
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About the Profile
Under the National Rural Health Mission this District Health Action Plan of
Munger district has been prepared. From this, situational analysis the study
proceeds to make recommendations towards a policy on workforce management,
with emphasis on organizational, motivational and capability building aspects. It
recommends on how existing resources of manpower and materials can be
optimally utilized and critical gaps identified and addressed. It looks at how the
facilities at different levels can be structured and reorganized.
The information related to data and others used in this action plan is authentic
and correct according to my knowledge as this has been provided by the
concerned medical officers of every block. I am grateful to the state level
consultants (NHSRC/PHRN), DPMU,MOICs, Block Health Managers and
ANMs and AWWs from their excellent effort we may be able to make this
District Health Action Plan of Munger District.
I hope that this District Health Action Plan will fulfill the intended purpose.
Dr. Mukesh kumar Civil Surgeon cum M.S.
District Health Society, Munger
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Chapter-1
Introduction
1.1 Background
Keeping in view health as major concern in the process of economic and social
development revitalization of health mechanism has long been recognized. In
order to galvanize the various components of health system, National Rural
Health Mission (NRHM) has been launched by Government of India with the
objective to provide effective health care to rural population throughout the
country with special focus on 18 states which have weak public health indicators
and/or weak infrastructure. The mission aims to expedite achievements of policy
goals by facilitating enhanced access and utilization of quality health services,
with an emphasis on addressing equity and gender dimension. The specific
objectives of the mission are:
Reduction in child and maternal mortality
Universal access to services for food and nutrition, sanitation and hygiene, safe
drinking water
Emphasis on services addressing women and child health; and universal
immunization
Prevention and control of communicable and non-communicable diseases,
including locally endemic diseases
Access to integrated comprehensive primary health care
Revitalization local health traditions and mainstreaming of AYUSH
Population stabilization
One of the main approaches of NRHM is to communities, which will entail
transfer of funds, functions and functionaries to Panchayati Raj Institutions
(PRIs) and also greater engagement of Rogi Kalyan Samiti (RKS). Improved
management through capacity development is also suggested. Innovations in
human resource management are one of the major challenges in making health
services effectively available to the rural/tribal population. Thus, NRHM
proposes ensured availability of locally resident health workers, multi-skilling of
health workers and doctors and integration with private sector so as to optimally
use human resources. Besides, the mission aims for making untied funds
available at different levels of health care delivery system.
Core strategies of mission include decentralized public health management. This
is supposed to be realized by implementation of District Health Action Plans
(DHAPs) formulated through a participatory and bottom up planning process.
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DHAP enable village, block, district and state level to identify the gaps and
constraints to improve services in regard to access, demand and quality of health
care. In view with attainment of the objectives of NRHM, DHAP has been
envisioned to be the principal instrument for planning, implementation and
monitoring, formulated through a participatory and bottom up planning process.
NRHM-DHAP is anticipated as the cornerstone of all strategies and activities in
the district.
For effective program implementation NRHM adopts a synergistic approach as a
key strategy for community based planning by relating health and diseases to
other determinants of good health such as safe drinking water, hygiene and
sanitation. Implicit in this approach is the need for situation analysis, stakeholder
involvement in action planning, community mobilization, inter - sectoral
convergence, partnership with Non Government Organizations (NGOs) and
private sector, and increased local monitoring. The planning process demands
stocktaking, followed by planning of actions by involving program functionaries
and community representatives at district level.
Stakeholders in Process
Members of State and District Health Missions
District and Block level programme managers, Medical Officers.
State Programme Management Unit, District Programme Management
Unit and Block
Program Management Unit Staff
Members of NGOs and civil society groups
Support Organisation – PHRN and NHSRC
Besides above referred groups, this document will also be found useful by health
managers, academicians, faculty from training institutes and people engaged in
program implementation and monitoring and evaluation.
1.2 Objectives of the Process
The aim of this whole process is to prepare NRHM – DHAP based on the
framework provided by NRHM-Ministry of Health and Family Welfare
(MoHFW). Specific objectives of the process are:
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To focus on critical health issues and concerns specifically among the most
disadvantaged and under-served groups and attain a consensus on feasible
solutions
To identify performance gaps in existing health infrastructure and find out
mechanism to fight the challenges
Lay emphasis on concept of inter-sectoral convergence by actively engaging
a wide range of stakeholders from the community as well as different public
and private sectors in the planning process
To identify priorities at the grassroots and curve out roles and responsibilities
at block level in designing of DHAPs for need based implementation of
NRHM
1.3 Process of Plan Development
1.3.1 Preliminary Phase
The preliminary stage of the planning comprised of review of available literature
and reports. Following this the research strategies, techniques and design of
assessment tools were finalized. As a preparatory exercise for the formulation of
DHAP secondary Health data were complied to perform a situational analysis.
1.3.2 Main Phase – Horizontal Integration of Vertical Programmes
The Government of the State of Bihar is engaged in the process of re – assessing
the public healthcare system to arrive at policy options for developing and
harnessing the available human resources to make impact on the health status of
the people. As parts of this effort present study attempts to address the following
three questions:
1. How adequate are the existing human and material resources at various
levels of care (namely from sub – center level to district hospital level) in
the state; and how optimally have they been deployed?
2. What factors contribute to or hinder the performance of the personnel in
position at various levels of care?
3. What structural features of the health care system as it has evolved affect
its utilization and the effectiveness?
With this in view the study proceeds to make recommendation towards
workforce management with emphasis on organizational, motivational and
capacity building aspects. It recommends on how existing resources of manpower
and materials can be optimally utilized and critical gaps identified and addressed.
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It also commends at how the facilities at different levels can be structured and
organized.
The study used a number of primary data components which includes collecting
data from field through situation analysis format of facilities that was applied on
all HSCs and PHCs of Munger district. In addition, a number of field visits and
focal group discussions, interviews with senior officials, Facility Survey were
also conducted. All the draft recommendations on workforce management and
rationalization of services were then discussed with employees and their
associations, the officers of the state, district and block level, the medical
profession and professional bodies and civil society. Based on these discussions
the study group clarified and revised its recommendation and final report was
finalized.
Government of India has launched National Rural Health Mission, which aims to
integrate all the rural health services and to develop a sector based approach with
effective intersectoral as well as intrasectoral coordination. To translate this into
reality, concrete planning in terms of improving the service situation is envisaged
as well as developing adequate capacities to provide those services. This includes
health infrastructure, facilities, equipments and adequately skilled and placed
manpower. District has been identified as the basic coordination unit for planning
and administration, where it has been conceived that an effective coordination is
envisaged to be possible.
This Integrated Health Action Plan document of Munger district has been
prepared on the said context.
1.3.3 Preparation of DHAP
The Plan has been prepared as a joint effort under the chairmanship of District
Magistrate of the district, Civil Surgeon, ACMO (Nodal officer for DHAP
formulation), all programme officers and NHSRC/PHRN as well as the MOICs,
Block Health Managers, ANMs, as a result of a participatory processes as
detailed below. After completion the DHAP, a meeting is organized by Civil
Surgeon with all MOIC of the block and all programme officer. Then discussed
and displayed prepared DHAP. If any comment has came from participants it has
added then finalized. The field staffs of the department too have played a
significant role. District officials have provided technical assistance in estimation
and drafting of various components of this plan.
After a thorough situational analysis of district health scenario this document has
been prepared. In the plan, it is addressing health care needs of rural poor
especially women and children, the teams have analyzed the coverage of poor
women and children with preventive and promotive interventions, barriers in
access to health care and spread of human resources catering health needs in the
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district. The focus has also been given on current availability of health care
infrastructure in pubic/NGO/private sector, availability of wide range of
providers. This DHAP has been evolved through a participatory and consultative
process, wherein community and other stakeholders have participated and
ascertained their specific health needs in villages, problems in accessing health
services, especially poor women and children at local level.
District Health Action Plan Planning Process
- Fast track training on DHAP at state level. -
Collection of Data through various sources
- Understanding Situation
-Assessing Gap
-Orientation of Key Medical staff, Health Managers
on DHAP at district level
-Block level Meetings
-Block level meetings organized at each level
by key medical staff and BMO
-District level meetings
-District level meeting to compile information
-Facilitating planning process for DHAP
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MUNGER – Historical Pointers
The territory included within the district of Munger (famously Monghyr)
formed pent of the Madhya-desa as “Midland” of the first Aryan settlers. It has
been identified with Mod-Giri a place mentioned in the Mahabharata, which was
the capital of a kingdom in Eastern India near Vanga and Tamralipta. In the
Digvijaya Parva of Mahabharata, we find the mention of Moda-Giri, Which
seems similar to Moda-Giri. Digvijaya Parva suggests that it was a monarchical
state during early times. A passage in the Sabha-Parva describes Bhima‟s
conquest in Eastern India and says that after defeating Karna, king of Anga, he
fought battle at Modagiri and killed its chief. It was also known as Maudal after
Maudgalya, a disciple of Buddha, who converted a rich merchant of this place
into Buddhism. Buchanan says that it was the hermitage of Mudgala Muni and
this tradition of Mudgal Risi still persists. Munger is called “Modagiri” in the
Monghyr copperplate of Devapala. The derivation of the name Munger
(Monghyr) has found the subject of much speculation. Tradition arcribes the
foundation of the town to Chandragupta, after whom it was called Guptagars a
name which has been found inscribed on a rock at Kastaharni Ghat at the north-
western corner of the present fort. It is insisted that Mudgalrisi lived there.
Tradition ascribes the composition of various suktar of the 10th
Mavdala of the
Rigveda to Rishi Mudgal and his clan. However, General Cunnigham had strong
suspicicion when he connects this original name with Mons as Mundas, who
occupied this part before the advent of the Aryans. Again Mr. C.E.A. oldham,
ICS, a farmer collector suggests the possibility of Munigiha, ie , the abode of the
Muni, without any specification which later corrupted to Mungir and later
became Munger.
At the dawn of history, the present site of the town was apparently comprised
within the Kingdom of Anga, with the capital Champa near Bhagalpur.
According to Pargiter, Anga comprises the modern districts of Bhagalpur and
Munger commissionary. The Anga dominion at one time included Magadha and
the Shanti-Parva refers to an Anga king who sacrificed at Mount Vishnupada. In
the epic period Modagiri finds mention as a separate state. The success of the
Anga did not last long and about the middle of the sixth century B.C. Bimlisara
of Magadha is said to have killed Brahmadatta, the last independent ruler of
ancient Anga. Hence the Anga became an integral part of the growing empire of
Magadh. As epigraphic evidence of the Gupta period suggests that Munger was
under the Guptas. To the reign of Buddhagupta (447-495 A.D) belongs a copper
plate of A.D. 488-9 originally found at Mandapura in the district.
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HIUEN TSIANG’S ACCOUNT:
However the first historical account of the district appears in the Travels of
HIUEN TSIANG, who visited this area towards the close of the first half of the
seventh century A.D. Hiuen Tsiang observed “The country is regularly cultivated
and rich in produce flowers and fruit being abundant, the climate is agreeable and
manners of the people simple and honest. There are 10 Buddhist monartries with
about 4,000 priests and few Brahminical temples occupied by various sectaries”.
The pilgrim‟s “I-lan-ha-po-fa-to”country is identified as this area. He had to pass
through thick forest and strange mountains into the country of Hiranayaparvat.
The capital Hiranayaparvat, lay, on the southern bank of Ganga, and closed to it
stood mount Hiranya, which “belched masses of smoke and vapour that obscured
the light of the sun and the moon”. The position of this hill is determined from its
proximity to the Ganga, to be Munger and though no smoke now comes from any
peak, the numerous hot springs in the hills point to famous volcanic action. These
hot spring are also mentioned in Hiuen Tsiang‟s Account. General Cunningham
identified the hot springs being those of Bhimbandh and its offshoots. Other
authorities refer it as Uren in present Lakhisarai District.
Unfortunately, there is a historical gap of almost two centuries when we
find its fresh mention in the Munger copper plate of Devapala discovered at
Munger about 1780. We learn from this copper plate about Dharampala (c.770-
810) who preceded far beyond Kanauj in his military campaigns. It refers to a
campaign of Dharampala along the foot of the Himalayas. Tripartite struggle
between the Palas, Rashhtrakutas and Gurjar-Pratihars for subermacy over
Kanauj was a dominant factor in the history of northern India. We find mention
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of Pala king Gopal, his son Dharampala & Devapala. Munger prominence is also
corroborated by the Nawlagarth inscriptions of Begusarai. The Bhagalpur plate of
Narayan pala, executed at Munger, shows their policy of religious tolerance and
there patronage to the worshipers of Shiva & Sakti cults.
Till the advent of the Turkish rule in India. Munger was under sway of the
Karnataka dynasty of Mithila. However Bakhiyar Khilji took possession of
Territory any of Munger in AD1225. Thus Munger in possession of the Khilji
ruler Gyasuddin. After a tussle and aftermath a peace treaty Munger came under
the control of Sultan of Bengal between 1301-1322, which is corroborated by the
Lakhisarai Inscription. Munger came under the possession of Muhammad Bin
Tugular who annexed Munger to Delhi for some time. In 1342 the whole of
north India witnessed the turmoil and Late Spasmodic Illyas Shah of Bangal
taking advantage of the opportunities established his sway over Bihar. An
interesting description of the Bengal sultan still exists in Lakhisarai. Inscription
bearing a date corresponding to 1297 which mentions Rakmuddin Kalawao
(c1296-1302) and a Governor round Ferai Hitagim. During thus conflict between
the Tugulaqs of Delhi and Bangal Sultan some portions of then Munger came
under the possession of the Sharqils of Jaunpur.
Some inscriptions found in Munger speaks of the conflict between the
Jampur rules and the Bangal Sultan which resulted in farmer‟s defeat and finally
resulted in peace. Here we came across the name of prince Danyal who held the
post of Governor of Bihar. It was prince Danyal who had repaired the
fortification of Munger and built in 1497 the voult over the shrine of Shah Nafah.
This is also known by the insemination but up by Danyal on the eastern wall of
the Dargah just within the southern gate of the fort.
Nasrat Shah succeeded Hussain Shah in Bengal in 1590. His brother-in-
law Makhdun Alam took possession of Munger Fort and entrusted its
responsibility to one of his general named Kutub Khan who made Munger the
head quarters of Bihar army of the rulers of Gaur. Bahar in his memoir mention
that when he invaded Bihar, Munger was under the change of a prince. After the
Battle of ghagra, Babar sent envoys to Nusarat Shah later Kutub Khan was
defeated and killed by Shur Shah. In 1534 again a powerful army in command of
Ibrahim Khan moved out to Munger, The battles took place in the narrow plains
of Surajgarha in which Ibrahim Khan was routed and slain and Sher Shah firmly
placed himself to Kingshlip. Thus during the Humayun-Sher Shah conflict
Munger pardoner strategic gamed. During the subsequent war between Sher Shah
and Humayun Munger was the seat of battle between, the Afghan and the
Empires in which Sher Shah captured Dilawar Khan son of Daulat Khan Lodi.
Mughal rule was substituted for Afghan rule. During Akbar‟s period when the
great Bengal military revolts started. Munger was for some time the headquarters
of Akbar‟s officers in their expeditions against the rebels. It was in this year that
Raja Todarmal took possession of Munger and tried to deal with three refractory
powerful semi-independent Zamindars of Akbar‟s time viz. Raja Gajapati of
Hajipur, Raja Puran Mal of Ghidhaur and Raja Sangram Singh of Kharagpur. The
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last two belonged to the district of Munger. Gajapati was totally ruined. After the
final occupation of Bihar, Raja Man Singh was appointed as the Governor and on
the basis of Akbarnama. It can be said that Raja Man Singh succeeded well in his
administration. Kharagpur at that time was a great principality extending from the
south of Munger to the south of Bhagalpur and Santhal Paragans. Sangram Singh
remained loyal to the Mughal rule till Akbar‟s death in 1605. But the accession of
Jahangir and the rebellion of Prince Khusru led him to make a final attempt to
recover his independence. He collected his forces, which, according to Jhangir‟s
memoirs, consisted of about four thousand horses and a large army of foot
soldiers.
The Mughal army under Jahangir‟s Kuli Khan Lala Beg, Governor of
Bihar, valiantly opposed him and a gun shot in 1606 killed Sangram Singh.
Sangram Singh‟s son succeeded in gaining favour of Jahangir but had to wait till
1615 when, on his conversion to Islam, he was allowed to return to Bihar. He
known in history as Rozafzun (ie. Daily growing in power). He remained faithful
to the Emperor and in 1628 when Jahangir died he was a commander of 1500-
foot soldiers and 700 horses. When Shahjahan became the Emperor, Rozafzun
entered into active Mughal services and accompanied Mahabat Khan in his Kabul
expedition. He was a brave soldier and had to his credit his participation in the
Siege of Parendah and was promoted to the higher ranks and became the
commander of 2000-foot soldiers and 1000 horses.He died in 1635 and was
succeeded by his son Raja Bihruz who was also a great fighter and held the rank
of 700-foot soldier and 700 horses, under Shahjahan. He extended his territory,
got many grants specially the Chakla Midnapur, in which he built a town and
named it Kharagpur. A ruined palace built by him is there; adjoining it is a three-
domed mosque. There is still a marble slab, which gives the date of building in
1656 A.D. But this brave Kharagpur ruler died in 1656. During the civil (1657-
58) amongst the sons of Shahjahan, Shah Shuja, the second son of the Emperor
was governor of Bengal. On hearing of the serious illness of his father in 1657 he
raised the standard of revolts and claimed the throne. Though his capital was at
Rajmahal, Munger the centre from which he direct his preparations and here he
returned in 1658 after his defeat. In June 1658, Auranzeb made an attempt to
conciliate Shuja by granting him the province of Bihar in addition to Bengal.
Munger came into great prominence during this period of the civil war. Prof.
Quanungo writes that after the March of Imperial Army Shuja wrote to Dara
asking for the grant of Munger, which formed the part of Dara‟s province of
Bihar. Dara was also prepared to give away the Fort of Munger on the condition
that the present fortress was dismantled and Shuja‟s son did not reside there. We
also get a reference of Murad‟s letter in which the designs of Dara to deprive
Shuja of Munger has been hinted at. Shuja took shelter at Munger to face the
Imperialists. In course of this conflict Dara was compelled to send urgent letters
to his son to make peace with his uncle. As a result of this treaty of 1685 Munger
was added to Shuja‟s viceroyalty but he was not allowed to reside there. In 1659
Daud Khan took charge of the province of Bihar. Mir. Jumla and Prince
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Muhammad pursued Shuja up to Munger. Shuja was forced by the treachery of
Raja Bihruz Khan of Kharagpur and Khaza Kamal of Birbhum to abandon
Munger in 1659. It was in this connection that Raja Bihruz was made In charge
of the whole area of Munger. We also find a mention of a Aevastative famine
during the reign of the Governor, Ibrahim Khan which continued from 1670-72.
The Dutch traveller, De Graafe, who travelled from Munger to Patna in
November 1670 gives a graphic picture of the horrible sccnes. Marshall also
mentions very interesting details about Munger. He inspected Shah Suja place
built on the west side of the Fort. He describes it, “as a very large house where
the king (Suja) lived, walled next to the river, for about one and half Kos with
bricks and stones, with a wall fifteen yards high”. He entered the first gate but
was stopped at the other within which he saw two elephants carved in stone and
very large and handsomely”. The inside palace was so strictly guarded that two
Dutch men De Graafe and Oasterhoff were imprisoned for their antiquarian
interest as they were taken as spies. They were released after seven weeks of
imprisonment in November , 1670 by paying a fine of one thousand rupees to the
Nawab of Patna. Marshall found a great garden and, at the south end, he saw
several thatched and many tombs and mosques.
He further writes “the town stands upon an ascent, the river bank by it
being 8 or 10 yards high, the brick wall by the river side at the south end of
Munger was about 5 yards high and 20 yards long with a little tower at each end
and each wall is a fortification to place the gun on it. Towards the close of the
18th Century we find that Munger was merely station of “Power Magazine”
established there….” For most vivid lightning often about Munger attracted by
the iron ore which abounds in the neighboring hills and if it fell upon the
magazine, the while Fort could certainly be destroyed by the explosion”. We find
mention in the travel account of R.Heber in his book “Narrative of Journey
Through the Upper Province of India (1827)” that Munger was noted for its good
climate and Warren Hastings also speaks of the delightful change of atmosphere
from that of Bengal. Heber further wrote “Munger presents an imposing
appeardance…. The Fort is now dismantled. Its gates, its battlements etc. are all
of Asiatic architecture and very much similar to the Khitairagorod of Moscow.”
Miss Emily Eden was also much struck by the inland tables and boxes and
expressed surprise on such curious workmanship (Miss Eden-Up the Country
quoted in Munger Gazetteer 1960). The remark of Miss Eden is also attested in
the writing of Fanny Parkes who wrote “Among the articles manufactured here
the black vases for flowers turned into while wood and lacquered whilst in the
Lathe with scaling wax are pretty”. Joseph Hooker also speaks highly of Munger,
“By far the prettiest town, Munger was celebrated for its iton manufacture,
especially of muskets, in which respect it is the Burmingham of Bengal”.
When we come down to the early Mughal period we get a few references
to the district in the famous book “Ain-I-Akbari” prepared by Abul Fazl.
According to it Sarkar Munger consisted of 31 mahals or Parganas, paying a
revenue of 10,96,25 981 dams (40 dams equal to One Akbar Shahi rupee). It is
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also mentioned that Sarkar Munger furnished 2150 horses and 50,000 foot
soldiers. Raja Man Singh who is said to have reconqucred Bengal and Orissa had
for some time Munger as his residenoc.During the reign of Aurangzed we find
mention of Munger inconnection with the death and burial at Munger of the poet
Mulla Mohammad Saiyed, who wrote under the nom-de-plume of Ashraf. The
poet Ashraf stood in high favour with prince Azim-Us-Shah, Aurangzeb‟s grand
son, who happened to be the Governor of Bihar. The poet Ashraf had also been
for a long time the teacher of Zebunissa Begum, Aurangzeb‟s daughter who was
herself a poetcss of rupute. It 1704 while on his way from Bengal to Mecca, the
poet died at Munger where his tomb is still pointed out. Nicholas Graafe, a Dutch
physician who visited in the beginning of the century was struck with admiration
at the sight of its white wall, towers and minarets. But by 1745 when Mustafa
Khan, a rebellious General of Alivardi Khan advanced against it in his march
northwards the fort was a ruinous fortification which the Governor and his little
garrison tried to put up some Defence but failed miserably.
The besieger got upon the wall and scized the fort though the leader was
killed by a stone that fell upon him. Mustafa Khan, however, following the
custom of those days, had music played to celebrate his success, he also took
some guns and ammunition from the fort and after a halt for a few days marched
off towards Patna. During the period of the disintegration of Mughal Empire
Munger had to witness new changes. Bihar came to be joined to the Suba of
Bengal, which had practically become independent of Delhi. Alivardi, who was
the Fauzdar of Rajmahal had now become the District Governor of Munger.
Munger was politically and strategically so important that it did not escape even
the Maratha expendition. The second Maratha invasion under Raghujee Bhonsla
occurred in 1743.
Balaji Maratha entered into Bihar and advancing through Tekari, Gaya,
Manpur, Bihar and Munger. It is also mentioned that during the 4th Maratha
invasion in 1744 Raghuji passed through the hills of Kharagpur. When British
force was pursuing Jean Law, the French adventurer and partisan of siraj-ud-
duala, who was flying northwards after the Battle of Plassey, Major Coote
reached Munger late at night on 20th July, 1757 and requisitioned a number of
boats which the Governor of Munger supplied. But Munger Fort was in such a
good condition that he was not allowed to enter the Fort and when he approached
the walls he found that garrison was ready to fire. Coote wisely resumed his
march without any attempt to enter the Fort. Nearly three years after in the spring
of 1760 the army of Emperor Shah Alam marched out of the District when he
was being pursued by Major Caillaud and miran. The Emperor had been defeated
by Caillaud and Miran at sirpur on the 22nd February, 1760. This time Johan
Stables, who had succeeded Caillaud was given charge of Munger. It was he who
directed to attack the Kharagpur Raja who had openly defied the authority of the
new Nawab, Kasim Ali Khan.
The modern history of Munger came again into Prominence in 1762 when
Kasim Ali Khan made it his capital instead of Murshidbad in Bengal. The new
16
Nawab removed his treasure, his elephants and horses and even the gold and
silver decorations of the Imam Bara from his old capital. He favored General
Gurghin (Gregory) Khan, an Armenian of Ispahan, re-organized the army and
had it drilled and equipped after English model. He also established and arsenal
for the manufacture of fire-arms and it is from this time that Munger can trace
back its importance for the manufacture of guns. Even today that glorious
tradition is being carried on by hundreds of families who specialize in the
manufacture of guns.
Two days a week he sat in a public hall of audience and personally dispensed
justice. He listened Patiently to the complaints and grievances of everyone and
gave his impartial order. The Nawab, indeed, was a terror both to his enemies and
to wring doors. He also honored learning and the learned and welcomed scholars
and savants to his court and he surely earned the respect and admiration of both
friends and foes alike. Unfortunately, however, destiny did not help him and Mir
Kasim Ali soon came into confrontation with the English.
MIR KASIM AND HIS CONFICT WITH THE ENGLISH: The first
quarrel appears to have been caused by the tactless conduct of Mr. Ellis, who was
in incharge of an English factory at patna. Mr. Ellis had received a vague report
that two English deserters were concealed at Munger. A long dispute followed
and it was finally compromised by Mr. Ironsides, the Town Major of Calcutta ,
who conducted the search of the Fort with the due permission of the Nawab. No
deserters were found inside the Fort, the only European in the place being an old
French invalid. In April, 1762 Warren Hastings was sent from Calcutta to arrange
the terms between the Nawab and Mr.Ellis. The Nawab received him well but
Ellis refused to meet Warren Hastings and stayed in his house at Singhia, 15
miles away from Munger. Beside this personal rancor, serious trade disputes
arose between the Nawab and East India Company. The East India Company had
been enjoying exemption frm heavy duty transit levied on inland trade. After the
battle of Blassey the European servants of the Company began to trade
extensivdy on their own account and to claim a similar exemption for all goods
passing under company‟s flag and covered by Dastak or certificate signed by the
Governor or any agent of the factory. Great abuses followed when the English in
some cases lent their names to Indians for a consideration and the latter used the
same Dastak over and over again or even began forging them.
Warren Hastings in 1762 says that every boat he met on the river bore the
company‟s flag and became aware of the oppression of the people by the
Gumashtas and the Company‟s servant. Mir Kasim bitterly complained that his
source of revenue had been taken away from him and that his authority was
completely disregarded. Eventually in Octuber, 1762, Mr. Vansittart, the
Governor left Calcutta in order to try and conclude a settlement between the two
parties. He found the Nawab of Munger smarting under the injuries and insults
he had received. But at length it was agreed that servants of the company should
17
be allowed to carry on the inland private trade, on payment of a fixed duty of 9%
on all goods- a rate much below that paid by the other merchants. The dastak also
remained with a new provision that it should also be countersigned by the
nawab‟s collector. Mir Kasim agreed to these terms but, of course, very
unwillingly. Sair-ul-Mutakharin gives a detailed account of the visit of Vansittart.
The Nawab advanced six miles to meet vansittart and arrange for his residence in
the house which Gurghin Khan had crected on hill of Sitakund (Pir Pahar).
Vansittart returned to Calcutta in January 1763 after a week long stay at
Munger but he was sorry to find that the agreement concluded with the Nawab
has been repudiated. The Nawab, however, had honestly sent the copies of the
Governor‟s agreement to all of his officrs for its immediate implementation. The
result was that English goods then in transit, were stopped and duty caimed upon
them. The English council reacted sharply and wanted that the English dastak
should pass free of duty. The Nawab on the other hand protested at this breach of
faith and passed orders abolishing all transit duty and thereby, throwing open the
whole inland trade free from any custom duty. The English regarded this as an
act of hostility and preparations for war began but English decided first to send a
deputation headed by Messrs. Amyatt and Hay to arrange fresh tersm with the
Nawab.Mr. Ellis was also informed of this development and was warned not to
commit any act lof aggression even if the mission failed and Amyatt and Hay
were well out of the Nawab‟s power.
The members of the mission reached Munger on the 14th may, 1763 and
opened up negotiations, but it was soon found that they were undocked. The
Nawab who was offended at the rough and over bearing manner in which he was
addressed by the English linguist and refused to speak to him. At subsequent
interviews also the Nawab tried to avenge the English insult and refused to come
to any terms. The Envoys were kept under strict supervision and when some of
the party wished to ride out from Munger they found their way barred by the
Nawab‟s soldiers with lighted matches ready to fire. Just at this tenses moment
English cargo boats for Calcutta were detained at Munger and 500 Muskets
intended for the factory at Patna were found out hidden under the cargo. The
Nawab, naturally, became suspicious of the English move which might have been
to seize the fort and the city at Patna. He wanted , therefore, a thorough check-up
by his own troops otherwise he would declare war. In the mean time he permitted
Mr. Amyatt and others of the party to leave for Calcutta, but detained Mr. Hay
and Mr. Gulson as hostages for the safety lof his officers who had been arrested
by the English.
As regardes the final rupture between the English and Bengal Nawab it
was precipitated by the action of Mr. Ellis who believed that war was in any case
inevitable, and seized the city of Patna on hearing the news that the detachment
was advancing from Munger to reinforce the Nawab‟s garrison. The Nawab also
retaliated promptly, reinforcements were hurried up and the Fort quickly
recaptured. This news of the success gave Kasim Ali the keenest delight. Even
18
though it was mid-night, he immediately ordered music to strike and awakened
the whole town of Munger. At day-break the doors of the public halls were
thrown open and every one hastened to offer him congratulations. He , now,
proclaimed the outbreak of war and directed his officers to put the English to
sword wherever they were found. In pursuance lof this general order Mr. Amayat
was killed at Murshidabad and the factory at Cossim (Kasim) Bazar was stormed.
The survivorsw surrendered and were sent to Munger to join their unfortunate
companions from patna.
The British force under Major Adams quickly advanced against the nawab
and defeated his troops at Suti. On Hearing of his defeat, he sent his Begums and
children to the fort at Rohtas and set out himself accompanied by Gurgin khan to
join his army that was now concentrated on the banks of the Udhua Nullah near
Rajmahal. Before leaving Munger, however, he pur to death a number of his
prisoners including Raja Ram Narayan, till lately Deputy Governor of Bihar, who
was thrown down into the river below the fort with a pitcher filled with sand
bound to his neck. Gurgin Khan not satisfied with this butchery also urged the
Nawab to kill his English prisoners but this the Nawab refused to do. Jagat set
Mahtab Rai and Sarup Chand, two rich bankers of Murshidabad who had been
brought from that place by Mir Kasim Ali as they were believed to favour the
British cause also appears to have escaped. Though as the tradition says they
were also drowned at the same time. This story is, however, contradicted by the
author of Sair-UI-Mutakharin who says that they were hacked to pieces at Barth.
The exact location of the tower of castle of Munger from where Jagat Seth and
others were thrown down has not yet been located.
Before the Nawab could join his army at Udhua Nullah he heard of a
second decisive defeat that he had sustained and thereafter returned to Munger.
He stayed there only for two or three days and marched to Patna with his
prisoners like Mr. Hay, Mr. Ellis and some others. On the way Mr. Kasim halted
on the bank of Rahua Nullah, a small stream near Lakhisarai. It was here that
Gurgin Khan met his death and was cut down by some of his own troopers who
were demanding arrears of their pay. A scene of wild confusion followed. Makar,
another Armenian General, fired off some guns, the thought that the English were
upon them and fled in terror, Mir Kasim himself flying on an elephant. There was
great confusion in the army because of this false alarm but Mir Kasim marched
on the next day to Patna.
In the meantime the British army moved on rapidly towards Munger and at this
time Munger was placed under the command of Arab Ali Khan, who was a
creature of Gurgin Khan. On the first of October 1763 the main body of the army
arrived on batteries that had been thrown up and were immediately opened. For
two days heavy fire was maintained but in the evening the Governor capitulated
and surrendered himself and his garrison. The English at once set to work to
repair the breaches and improve the defences.
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The Fort was left under the command of Captain John White who was
further directed to raise locally another battalion of sepoys. This news of the
capture of Munger infuriated the Nawab who as soon as he heard of it gave order
that his English prisoners at Patna should be put to death. This order was carried
out by the infamous Samru and is known in history, as the „Massacre of Patna‟.
There years later in 1766 there was a mutiny of the European officers of
Bengal army because of the reduction of “bhatta” which was an extra monthly
sum to cover the increased expenses when the soldiers were on active military
duty. After the battle of Plassey Mir Jafar Khan had granted an extra-allowance,
called “double bhatta” which had continued during the role of Mir Kasim also.
But the Directors of the companies now passed order that this allowance should
be abolished except for the grant of half-bhatta to the troops stationed at Patna
and Munger. This curtailment was bitterly resented by the army officers and on
the first of May, 1766 a memorandum to this effect was signed by officers of the
first brigade stationed at Munger under Sir Robert Fletcher who transmitted it to
Lord Clive at Murshidabad.
Clive lost no time and proceeded to Munger in person by forced marches
and in the mean time sent forward some officers to deal with the situation as well
as they could. When arrived at Munger late at night on the 12th May, the army
heard too much of drums beating and going further to Robert Fletcher‟s quarter
they found the European regiment drinking, singing and beating drums. Next
morning two of them went to Kharagpur and returned with two battalions to
Munger. But we learn that on 14th the European battalion broke out in open
mutiny and Captain Smith seized the saluting batteries which were situated upon
hillock. The hillock was known as Karn Choura hill. Captain Smith gained
possession of the hill and was successful in suppressing the rebellion. In short,
Munger was recaptured by the prompt and brave action of Caption Smith and sir
Robert Fletcher.
Clive hadd already reached Munger and he held a parade of troops. He
explained the circumstances under which the “bhatta” had been withdrawn and
he further applauded the loyal conduct of the sepoys and condemned the
conspiracy of some officers. They were further threatened that the ring leaders
would get the severest penalties under Martial Law. After his address, the brigade
gave their hearty cheers and marched off quietly to the barracks and the lines.
Thus, the rebellion of the British officers at Munger was successfully suppressed.
For some time John Maccabe was a Deputy Commissioner, Government of
Munger before 1789.
The subsequent history of the district is uneventful with the extension of
the British dominions, the town of Munger ceased to be an important frontier
post. There was no arsenal, no regular garrison was kept up and no attempt was
made to bring the fortification up-to-date. Munger, however, was still important
for its fine situation and salubrious air and was used as a sanatorium for the
British troops. So great a resort that it was the journey up the Ganga followed by
20
a stay was regarded of as healthy as a sea voyage. We find that a trip to Munger
was prescribed for the wife of Warren Hastings when she was in ill health and in
1781 when Warren Hastings was on his way to meet Chait Singh at Banaras he
left his wife here for the benefit of her health. But during the early part of the 19th
century Munger was degraded to a lunatic asylum for sepoys where there was
also a depot for army clothing and it became an invalid station for British
soldiers.
Munger District is located in the southern part Bihar and its headquarters
are located on the southern bank of river Ganges. The district is spread over
1419.7 Sq. km. accounting for 3.3% of the area of Bihar . It lies between 240 22
N to 250 30 N latitude and 85
0 30 E to 87
0 3 E longitude. From administrative and
development point of view,Munger is divided into three subdivisions namely
Munger,Kharagpur, and Tarapur. There are nine developmental blocks namely
Munger, Bariarpur, Jamalpur, Dharahara, Kharagpur, Tetia Bambar,Tarapur
Asarganj and Sangrampur. There are about 903 villages in the district. The
Munger district on an average is 30 to 65 mtrs above sea level. The average
annual rainfall is 1231 mm.
TEMPLE OF BANGAMA (MUNGER)
FORMATION OF THE DISTRICT
The existence of Munger as a separate executive centre dates from the
year1812, It appears from a letter dated the 15th
July of that year, that Mr. Ewing
was appointed to have charge of Munger Criminal Court, called the court of
Joint Magistrate of Munger and that he was made subordinate to the Magistrate
of Bhagalpur and worked like a sub-divisional officer.
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A letter also from Mr. Dowdeswell, Secretary to the Government, dated the 22nd
October, 1811 proves that at that time no magisterial authority exited at Munger
except that of the Magistrate of Bhagalpur to whom it was addressed : “I am
directed”, it runs, to acquaint you that his Excellency the Vice-President in
council considers it of importance that you should revert to the practice which
formerly existed holding the Kachari during a part of the year at Munger, and that
he desires that you will make necessary arrangement for the purpose”. But the
extent of the Munger jurisdiction is not mentioned in the local records till
September, 1814 when it is clearly stated to comprised five Thanas or police
divisions, viz. Munger, Tarapur, Surajgarha, Mallepur and Gogri.
No change seems to have been made in the powers or jurisdiction of the
Munger court till 1832 when it was made revenue-receiving Centre under the
name of a Deputy Collectorship. This new office was conferred on the joint
Magistrate. Form this time officer exercised most of the power of a full
Magistrate-Collector. He had now power to correspond directly with the chief
Executive and the Revenue authority as an independent authority.
The earliest record of value in the collectorate appears to be the
letter from the Commissioner of Bhagalpur to the Secretary to the Sadar Board of
Revenue. At Fort William, dated the 29th
May, 1850. He writes-“It appears from
the record that the native town and Bazar of Munger have for a long period been
considered government property. This though constituting one Mahal, was
divided into 13 Tarafs, Viz. (1) Bara Bazar, (2) Deochi Bazar, (3) Goddard
Bazar, (4) Wellesly Bazar, (5) Munger Bazar, (6) Gorhee Bazar, (7) Batemanganj
Topekhana Bazar, (8) Fanok Bazar, (10) Dalhatta Bazar, (11) Belan Bazar, (12)
Rasoolganj and (13) Begampur”.
Geography & Economy
Physical Features and Natural Resources
The district of Munger is hemmed among the Ganges in the north,
Bhagalpur district in the east, Barh district in the west and the district of Jamui in
the south. It covers almost 14 Development Blocks. The total area is 3301.70
Km2 and the total population is 1,924,317, vide 1991 census. The density of
population per Km2 was 583 in 1991.
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Relief Feature
Plain Lands in the North:
The Northern plain of Munger district has two facets of landscape i.e. diaras north of
the Gangatic levee and tal lands south of the levee. Some of the Gangetic levee and tal lands
south of the levee. Some of the important diaras are Maheshpur, Heru, Bahadurpur,
23
Kalarampur, Budhwa and Taufir diaras. These diaras suffer from annual inundation along with
the erosion and deposition of soils. This is the area of bood hazards with the sedimentary rocks.
The area south of the Gangetic levee is known as Tal lands. Some of the important tals
are Barhiya tal, Mainma tal, Bilya tal, Bariarour tal and others. Some of the important rivers
e.g. Kiul Harohar, Dakranal and Baduar deposit soil in their flood plains. Tal lands also suffer
from annual inundation, water loggings and deposition of soil.
Mineral Water
Munger district has long been famous for its mineral waters and hot water springs,
There is a belt of thermal springs along a Zone from the Kharagpur hills to the Rajgir hills of
the Patna district. There are altogether seven groups of thermal springs in this district. These
are:-
1. Bharari (Chormara Group)
2. Bhimbandth Group
3. Hingania Group
4. Remeshwar-Lakshmishwar –Bhowrah Kunds groups.
5. Rishikund groups.
6. Sitakund – Phillips-kund group and
7. Sringirishi group
CLIMATE
Munger district is a part of Zone – III with sub-zone in South Bihar Plains. The zone is
located on south of river Ganges and comprises districts of Munger, Bhagalpur, Gaya,
Aurangabad, Rothas, Bhojpur, Patna and Nalanda. It is sub humid and much drier as compared
to zone-I and III. It has monsoon sub-tropical climate ranging from sub-dry and sub-humid
conditions. There are three district seasons in this zone viz., summer, monsoon and winter.
SUMMER (MARCH TO MAY)
The summer season is characterized by gradual rise in temperature, occasional thunder
showers and hail storm, high velocity westerly during this season is very dry resulting in
sunstroke deaths at times. The maximum temperature rises up to 45o C.
MONSOON (JUNE TO SEPTEMBER )
It starts from middle of June and continues up to end of September. Monsoon is
characterized by cloudy weather, high humidity, frequent rains and weak variable surface
wind. Maximum rainfall occurs during July and August.
WINTER (OCTOBER TO FEBRUARY)
Winter season is characterized by gradual decrease in temperature which
comes to a minimum in the first week of January. Thereafter, the temperature
starts increasing. The minimum temperature varies from 3.50 C to 90 C.
24
RAINFALL
The rainfall under this zone is mainly influenced by the south-west
monsoon which sets in the second week of June and continues up to end of
September. Sometimes cyclonic rain also occurs. The average annual rainfall of
this zone is 1078.7 mm. The rainfall distribution is marked seasonal in character.
Greatly limiting water availability in certain times of the year and requiring
disposal of excess water in some weeks during monsoon also occur. The average
annual rainfall of Munger district is 1146.4mm (53year average), out of which
80% is received during monsoon season and the rest (more than5%)in summer
season. In case of Munger district, the temporal variation annual rainfall was
recorded at a maximum of 2181.6 mm in 1971 and a minimum of 481.6 mm in
1972 with annual coefficient of variation of 27.2%. July and August received
maximum monthly rainfall in the district. The monthly co-efficient of variation of
rainfall for monsoon from June to September was 68.5%, 44.3% and 51.8%
respectively for Munger.
SOIL
Soil of Munger district is grey to dark grey in color, medium to heavy in
texture, slightly to moderately alkaline in reaction, cracks during summer (1) cm
to more than 5 cm wide and more than 50 cm deep) becomes shallow with onset
of monsoon, with clay content nearly 40% to 50% throughout the profile. Slicken
side along with the wedge shaped structural aggregates absorb soil are found in
level land or depression. Soil becomes bonding during summer and remains
inundated rains. The clay minerals found are smectites followed by hydrous
mica. The soil has a good fertility status. Diara land soils are light textured and
well drained with free calcium carbonate (CaCO3) that varies between 3% to 8%
but seldom exceeds 10% particularly no genetic low zone gives a coarse
stratification micro relief, udic moisture regime clay. Minerals found are hydrous
mica, smectite, kaolonite and chloride. The nature of sediments deposited in
Diara land can be generally stated as those near the streams are coarser in texture
i.e., sand which gradually becomes finer with distance a grade to heavy texture of
clay in the central part of the meander, these being always layers of sand at
varying department which generally do not go deeper than 40 cm to 60 cm of
surface deposited as a result of changing course of the current. These Diaras are
either:
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29
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31
32
33
34
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A.2.7. Management of Childhood Diarrhea Through the Use of Zinc and ORS
District-Munger 1. Introduction
India has a national policy for management of diarrhoea among children that recommends the use of Zinc tablets along with ORS in the treatment of diarrhoea as per the MOHFW, GoI directive dated 2
nd Nov. 2006. A high-level
meeting held under the chairmanship of Dr. M.K. Bhan, Secretary, Department of Biotechnology recommends for every case of diarrhoea, a dose of 20 mg/day for 14 days for children above age 6 months and 10mg/day for children aged 2-6 months. The high-level committee recommendations emphasize that: a) Zinc tablets should be available in all parts of the country including Anganwadi centers. b) An effective communication strategy be put in place c) Health care providers including Anganwadi Workers and ASHAs are oriented and trained in the use of zinc along with ORS. 2. Situation Analysis:-
Indicator Munger District Bihar State Source
Children suffered from Diarrhea in the last two weeks prior to survey (%)
7.2 12.1 DLHS-3
Children with Diarrhea in the last two weeks who were given treatment (%)
73.8 73.7 DLHS-3
Children with Diarrhea in the last two weeks who were received ORS (%)
33 22 DLHS-3
Women aware of ORS (%) 47.8 23.8 DLHS-3
IMR 51 55 AHS,10-11
Under 5 Child Death 63 77 AHS,10-11
3. Progress during the current year (2011-12):
The district implemented the childhood diarrhea management program in 2009-10. Micronutrient Initiative provided initial support in the form of training to all ANMs, Anganwadi Workers, Medical Officers, supplied 16, 98,900 dispersible Zinc Tablets, Recording and Reporting formats, posters and techno-managerial support through the placement of District Extender. In the current year (2011-12) Micronutrient Initiative (MI) has planned to provide technical and operational support to the district through the placement of Divisional Coordinator and would provide training on childhood diarrhea management to all MOs, CDPOs, BHMs, BCMs, LHVs, Staff Nurses, Pharmacists, ANMs, ASHAs and Anganwadi Workers which is scheduled in January to March, 12. MI would supply 1, 12,169 of combo kits in month of January,12 (each kit consists of two packets of ORS and 14 tablets of Zinc DT) along with recording and reporting formats, compliance cards, Inter Personal Counseling(IPC) tool for counseling. 4. Plan of Action for 2012-2013:- 4.1 Specific Objectives for 2012-13:
I) At least 1,45,249 (50% of the total expected diarrheal cases in a year) childhood diarrheal episodes treated with
ORS & Zinc through public health system (Sadar Hospital, PHCs, APHCs,HSCs, ASHAs and Anganwadi Workers) II) At least 33,080 numbers of Zinc syrup bottles and 66,160 packets of ORS are procured and distributed to
AWWs, ASHAs, HSCs, APHCs, PHCs & Sadar Hospital.
Population as per 2011 census
0-5 years Children (12.5% of the total population as per the CBR(25), Annual Health Survey, 10-11 for Munger)
Expected yearly Childhood diarrheal cases (@1.71 per child/annual as per NCMH, 2005, GoI)
Target for 2012-13 (At least 50% cases will be reported and treated through public health care system (At present 28.6% cases reported in government health facility as per DLHS-3, India)
No. of combo kits of Zinc and ORS would be supplied by MI in January-February, 2012
Additional number of bottles of Zinc Syrup to be procured for 2012-13 under NRHM funds (@ 1 bottle per
Additional number of ORS packets to be procured for 12-13 under NRHM funds (@ 2 packets
37
episode) per episode)
13,59,054 3,00,190 2,90,498 1,45,249 1,12,169 33,080 66,160
4.2 Implementation Strategies for 2012-13:
Procurement of Zinc Syrup & ORS packets at the district level.
Distribution of Zinc syrup & ORS packets to AWWs, ASHAs, HSCs, APHCs, PHCs & District Hospital.
Ensure no stock-out of Zinc & ORS at all levels at all times
Training of all Medical Officers, CDPOs, ANMs, ICDS Supervisors, LHVs, Pharmacists, Staff Nurses,
BHMs, BCMs, AWWs, ASHAs on childhood Diarrhea management program and recording and reporting
(This training is scheduled to start in January, 2012 and will be completed by the end of March, 2012).
Training of BCMs on supportive supervision and they will carry out supportive supervision visits to HSCs,
AWCs, and ASHAs.
Training of Data Entry Operators on recording and reporting.
Create awareness in the community about the importance of Zinc & ORS through various BCC & Social
Mobilization activities.
Celebrate important events like ORS-Zinc day/week
Quarterly review at district level under the chairmanship of DM/CS with key Health and ICDS officials and
quarterly review at block level under the chairmanship of MOIC with the presence of Health and ICDS
officials.
Monthly review meeting with BCMs on the supportive supervision visit findings at the district level and
monitoring visits by DCM to BCMs during supportive supervision visits.
Strong coordination with the development partners.
4.3Supports by Development Partners in 2012-13:-
Micronutrient initiative will provide the following support in 2012-13 to the district Munger: 1) Techno-managerial support through the placement of Divisional Coordinator
2) Supply of 1, 12,169 combo kits (Each kit consists of 2 packets of ORS and 14 tablets of Zinc dispersible
tablets) (MI will supply combo kits in January-February, 2012 to the district).
3) Training of all Medical Officers, ANMs, Staff Nurses, ICDS Supervisors, CDPOs, BHMs, BCMs, LHVs,
Pharmacists, Staff Nurses, ASHAs and Anganwadi Workers on childhood diarrhea management program
using Zinc and ORS. (This training is scheduled to start in January, 2012 and will be completed by the end
of March, 2012).
4) Training of BCMs on supportive supervision and mobility support for supportive supervision visits by the
BCMs
5) Distribution of Inter personal communication (IPC) tool kit and compliance card for counseling by ANMs,
Anganwadi Workers and ASHAs
6) Training of Data Entry Operators on recording and reporting
7) Support in organizing district and block level review meetings.
8) Provide prototype soft copy of poster, wall painting, and display board.
9) Supply of printed recording and reporting formats and supportive supervision checklists.
4.4 Following activities proposed under NRHM budget in 2012-13:
Procurement of additional Zinc syrup (33,080) and ORS packets (66,160) for 33,080 diarrheal episodes
Print and distribute posters and display boards at Sadar Hospital, PHCs, APHCs, HSCs, AWCs
Mobility support for hiring vehicle for the distribution of Zinc and ORS from the district to block PHCs
Undertake wall paintings in villages
Mobility support for DCM to carry out monthly monitoring visits.
Monthly Review meeting of BCMs at the district level.
Celebrate ORS –Zinc day and week at the district and block levels
4.5 Estimated budget under NRHM for 2012-13:
Sl.No. Name of Activity Unit Cost (Rs.) Unit No. Total Cost (Rs.)
1 Procurement
1.1 Zinc Syrup 5.58 33,080 1,84,586.00
1.2 ORS Packet 2.29 66,160 1,51,506.00
38
Sub Total 3,36,092.00
2 Mobility Support
2.1 Hiring Vehicle for distribution of Zinc/ORS from district to PHCs
3000 9 27,000.00
2.2 Hiring vehicle for visit by DCM to blocks and field for monitoring supportive supervision visits undertaken by BCM(@4 visits/month)
1000 48 48000.00
Sub Total 75,000.00
3 Review Meeting
3.1 TA to BCMs to attend the monthly review meeting at the district level (@Rs.150/- per BCM per month)
150 108 16,200.00
3.2 Provision of refreshment (working lunch) for monthly review meeting of BCMs at district level including logistics arrangements like hiring chairs etc.(@ Rs.100/- per BCM)
100 108 10,800.00
Sub Total 27,000.00
4 BCC and Social Mobilization activities
4.1 Design and print poster on zinc-ors for Sadar Hospital (1), PHC(9), APHC (21), HSCs (152) & AWCs (1335)
25 1518 37,950.00
4.2 Design and Print Display Board for Sadar Hospital (1) and PHCs(9), APHCs (21), HSCs ( 152)
300 183 54,900.00
4.3 Wall Painting (4*4)(@ 2 numbers in HSC catchment villages)(152 HSC*2=304)(@Rs 12 per sqft)
192 304 58,368.00
Sub Total 1,51,218.00
5 Celebration of ORS-Zinc Week/Day at District and Block levels
5.1 Rallies and other mobilization activities at block PHCs (9) and district (1) (Drawing, prize, banners, refreshment for rally, poster competition)
20,000 10 2,00,000.00
Sub Total 2,00,000.00
Grand Total 7,89,310.00
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Situation Analysis for District Health Action
Plan
No Variable Data 1 Total Area 1419sq K.M..
2 Total no. of Block 9
3 Total no of Gram Panchayats 101
4 No. of Villages 866
5 No of PHCs 9
6 No. of APHCs 21
7 No. of HSCs 155
8 No. of Sub divisional
hospitals
1
9 No. of referral hospitals Nil
10 No of Doctors C-27(23 M, 4 F),R-42 (38 M, 4F)
11 No. of ANMs R-162,C-134
12 No. of Grad A Nurse C-26,R-19
13 No. of Paramedicals 165
14 Total Population 1359054
15 Male Population 723280
16 Female Population 635774
17 Sex Ratio 879
18 No. of Eligible couples 200436
19 Children (0-6 Month) 221026
20 Children (6-2 years) 47143
Children (2-6 years) 77799
21 SC Population 196907
22 ST Population 28311
23 BPL Population 258718
24 No. of Primary School 661
25 No of Anganwari centers 1107
26 No of Anganwari workers 1107
27 No of ASHA 961 (951 working but)
28 No. of Electrified villages 716
29 No. of villages having access
to safe drinking water
537
30 No of villages having
motorable roads
768
40
Section A : Health Facilities in the District
Health Sub – Centers
S.N
o
Block Name Populat
ion
HSCs
Required
HSCs
Persent
HSCs
Gap
Status of building Avalabi
lity of
Land own Rented Oth
er Y N
1 Sadar.
Munger 355412
28 23 5 6 17 7 1
6
2 Jamalpur 217319 42 16 26 8 8 0 9 7
3 Dhrarhra 124378 26 18 8 9 9 11 7
4 H.Kharagpur 216645 48 26 22 8 4 14 18 8
5 Bariyarpur 110627 21 14 7 5 8 1 8 6
6 Tarapur 100947 23 17 6 8 6 3 11 6
7 Asarganj 71289 17 11 6 3 7 1 5 6
8 Sangrampur
93470
22 19 3 5 8 6 7 1
2
9 Tetiyabamber 68967 15 11 4 5 6 7 4
Total 1359054 242 155 87 57 73 25
83 72
Section A : Health Facilities in the District
Additional Primary Health centers (APHCs)
S.No Block Name Population APHCs
required
APHCs
Present
APHCs
Gap
Status of
building
Avalability
of Land
own Rented Y N
1 Sadar.
Munger 355412
4 0 4
2 Jamalpur 217319 7 2 5 1 1 2
3 Dhrarhra 124378 4 3 1 1 2 3 1
4 H.Kharagpur 216645 8 4 4 4 0 4
5 Bariyarpur 110627 3 2 1 0 2 0 2
6 Tarapur 100947 4 2 2 1 1 2
7 Asarganj 71289 3 3 0 2 1 0
8 Sangrampur 93470 4 3 1 0 3 1
9 Tetiyabamber 68967 2 2 0 2 0 0 0
1359054 39 21 18 11 10 12 3
41
Section A : Health Facilities in the District
Primary Health centers/Referral Hospital/Sub-Divisional
Hospital/District Hospital
S.No Block
Name/sub
division
Population PHCs/Referral/SDH/DH
present
PHCs
required
PHCs
proposed
1 Sadar.
Munger 355412
PHC 0 0
2 Jamalpur 217319 PHC 1 1
3 Dhrarhra 124378 PHC 0 0
4 H.Kharagpur 216645 PHC 1 1
5 Bariyarpur 110627 PHC 0 0
6 Tarapur 100947 PHC/Referral 0 0
7 Asarganj 71289 PHC 0 0
8 Sangrampur 93470 PHC 0 0
9 Tetiyabamber 68967 PHC 0 0
Total 1359054 2 2
Name of the PHC/Referral Hospital/SDH/DH
1st April 2010 to March 2011
No Service Indicator Data
1 Child
Immunizations
% of children 9-11 month fully immunized
(BCG+DPT1+OPV123+Measled)
58.95%
% of Immunization sessions held against planned 97.60%
2 Child Health Total number of live births 28714
Total number of still births 524
% of newborns weighed within one week 24166
% of newborns weighing less than 2500 gm 823
Total number of neonatal deaths (within 1 month of birth) 03
Total number of infant deaths (within 1-12 months) 02
Total number of child deaths (within 1-5 yrs) 08
Number of diarrhea cases reports reported within the year 2312
% of diarrhea cases treated 100%
Number of ARI cases reported within the year 492
% of ARI cases treated 100%
Number of children with Grade 3 and Grade 4 NA
42
undernutrition who were admitted
Number of undernourished children NA
% of children below 5 yrs who received 5 doses of vit A
solution
587
3 Maternal care Number of Pregnant woman register for ANC 29384
% of pregnant woman registered for ANC in the 1st
trimester
51.37%
(15097)
% of Pregnant woman with 3 ANC check up 62.19%
(18274)
% of Pregnant woman with any ANC checkup 37.80%
(11110)
% of Pregnant woman with received 2 TT injections 92.69%
% of Pregnant woman who received 100 IFA tablets 74.21%
Number of institutional deliveries conducted by SBA 3186
% of c- sections conducted 3
% of Pregnancy complications managed 535
% of institutional deliveries in which JBSY fund were given 89.04%(1924
0)
% of home deliveries in which JBSY funds were given 0%
Number of deliveries referred due to complications Nil
% of mothers visited by health workers during the first week
after delivery
3639
Number of Maternal Deaths 01
4 Reproductive
Health
Number of MTPs conducte at public institution 48
Number of MTPs conducted at accredited 253
Number of RTI/STI case treated 419
% of couples provided with barrier contraceptive methods 123937
% of couples provided with permanent methods 0
% of female sterilizations 41.29%
5 RNTCP % of TB cases suspected out of total OP 3.39%
Proportion of New sputum positive out of total New
pulmonary cases
1014-1722
Annual case detection Rate (total TB cases registered for
treatment per 100,000 (% population per year .
117.91%
Treatment success Rate (% of new smear positive patients
who are document to be cured or have successfully
completed treatment
91.37%
% of patients put on treatment who drop out of treatment. 3.39%
6 Vector Borne
Disease Control
Programme
Annual Parasite Incidence 2.52
Annual Blood Examination Rate 1.86
Plasmodium Falciparum percentage 94%
Slide Positivity Rate 27.32
Number of Patients receiving treatment for Malaria 590
43
Number of Patients with Malaria referred 0
Number of FTD and DDCs 12&08
7 National
Programme for
control of
Blindness
Number of cases detected 1923
Number of cases operated 1923
Number of patients enlisted with eye problem NA
Number of camps organized 05
8 National Leprosy
Eradication
Programme
Number of cases detected MB- 99,PB-
161
Number of cases treated MB-99,PB-
161
Number of default cases 0
Number of cases complete treatment 257
Number of complicated cases 03
Number of cases referred 0
9 Inpatient Services Number of in-patient admissions 44230
10 Outpatient
services
Outpatient attendance 989370
11 Surgical Services Number of major surgeries conducted 3796
Number of minor surgeries conducted 8129
Section F: Community Participation, Training & BCC
Community Participation Initiatives
S.no. Name of
Block
No. of
GPs
No. of
VHSC
formed
No. of
VHSC
meeting
held in
the
block
Total
amount
released to
VHSC from
untied funds
No. of
ASHAs
Number
of ASHAs
trained
Number
of meeting
held
between
ASHA
and Block
officers
Total
amount
paid as
incentive
to ASHA
Round 1 Round 2
1 Sadar.
Munger 13 13 2 298000 105 12
2 Jamalpur 10 10 34 340000 98 12
3 Dhrarhra 13 13 1 930000 103 12
4 H.Kharag
pur 18 18 18 890000 10 12 774328
5 Bariyarpur 11 11 39 310000 92 12
6 Tarapur 12 12 40 510000 100 12
7 Asarganj 7 7 7 450000 71 12
8 Sangramp
ur 10 10 19 610000 92 12
9 Tetiyabam
ber 7 7 24 NA 34 12
Total 101 101 108
44
Training Activities:
S.No Name of
Block
Rounds of
SBA
Trainings
held (2010-
11)
No. of
Personnel
given SBA
Training
Rounds of
IMNCI
Training
held
(2010-11)
No. of
Personnel
given IMNCI
Training
Any specific issue
on which need for
a training of skill
building was felt
but has not being
given yet 1 Sadar.
Munger 4 23ANM+LHV 4
23 (ANM+LHV)
+22(ANMC) NA
2 Jamalpur 1 04 01 36 NA
3 Dhrarhra ….. …… 2 24 NA
4 H.Kharagpur 2 30 2 30 NA
5 Bariyarpur 1 3 2 27 NA
6 Tarapur 2 0 1 0 NA
7 Asarganj 0 3 2 2 NA
8 Sangrampur 4 4 3 23 NA
9 Tetiyabamber 1 0 1 0 NA
45
Section B : Human Resources and Infrastructure PHC Sub-center database
Name
of PHC
Su
b
cen
ter
Pop
No of
G.P
at/villa
ges
served
ANM/R/
C in
position
Building ownership
(Own, Rent & other)
Building
condition
(+++/++/+/#
)
Assured
running
water
supply
(A/NA/I)
Cont.
power
supply
(A/AN/I)
Rresidential
facility for
ANM (NA/
HSC/Rent)
Functio
nal
Labour
Room
Status of
Toilets
(Y/N)
R C Own Rent Other A NA I A NA I NA HS
C
Rent
Sadar. Munger 23 355412 13 22 6 17 0 3 3 17≠ 0 23 0 0 23 0 23 0 0 NA 6 17
Jamalpur 16 217319 10 18 17 8 8 0 3 5 8≠ 3 13 0 0 16 0 0 7 9
NA 1 15
Dhrarhra 18 124378 13 19 21 9 9 0 0 0 18# 0 18 0 0 18 0 18 0 0
NA 0 0
H.Kharagpur 26 216645 18 30 21 8 4 14 0 7 19≠ 0 26 0 0 26 0 26 0 0
NA 0 26
Bariyarpur 14
110627 11 17 13 5 8 1 0 5 9≠ 5 9 0 0 10 4 14 0 0
NA 7 7
Tarapur 17 100947 12 19 13 8 6 3 3 5 9≠ 0 17 0 1 16 0 15 2 0
NA 2 15
Asarganj 11 71289 7 11 6 3 7 1 3 0 8≠ 2 9 0 1 10 0 8 3 0
NA 3 8
Sangrampur 19 93470 10 15 15 5 8 6 0 3 17≠ 7 10 2 0 19 0 18 1 0
NA 2 17
Tetiyabamber 11 68967 7 13 6 5 6 1 1 9≠ 0 11 0 0 11 0 11 0 0
NA 0 11
Total 155 1359054
101 160 134 57 73 25 13
29 114 17
136
2 2 149
4 133
13 9 0
21 116
Civil Surgeon cum Member Secretary,
District Health Society, Munger
46
Section B : Human Resources and Infrastructure
Na
me APHC & PHC
Doctors
ANM Laboratory technician Pharmacists/dresser
Nurse
A Grade
Accent/pe
ons/Sweep
er/Nights
Guards Availabilit
y of
speciali st
Sanc Inposi Sanc Inpos Sanc Inpos Sanc Inpos Sanc Inpos Sanc Inpos Inpos
igion
I
n
p
o
s
PHC APHC PHC APHC PHC AP
HC
PH
C
AP
HC
PH
C
AP
HC
PH
C APHC
PH
C
AP
HC PHC
AP
HC PHC
AP
HC
P
H
C
A
P
H
C
PH
C
A
P
H
C
PHC
A
P
H
C
PH
C
AP
HC
Sad 1 NA 6 0 24 NA 47 0 41 0 1 0 0 0 0 NA NA NA 1 N
A 1
N
A 4
N
A NA NA
Jmp 1 2 8 4 6 2 6 4 3 2 1 2 1 0 1/1 1/1 1/0 1/0 2 4 0 4 6 1 NA NA
Dha 1 3 8 6 7 3 4 6 2 6 1 3 1 1 1/1 3/3 1/1 1/N
A 4 9
N
A 2 5 1 NA NA
Kha 1 4 8 8 5 8 4 12 1 7 2 4 2 0 2/2 4/4 1/0 1/0 2 8 0 7 7 3 NA NA
Bar 1 2 8 4 6 1 3 4 3 0 1 2 1 0 2/2 1/1 1/1 0 3 2 0 1 2 2 NA NA
Tar 1 2 8 4 5 1 4 4 4 4 1 2 1 0 1/1 2/2 0 0/1 4 4 0 1 2 2 1 NA
Asa 1 3 8 6 6 2 3 6 3 1 1 3 0 0 1/1 3/3 1/N
A 0 1 6
N
A 3 3 2 NA NA
Sag 1 3 8 6 6 1 4 6 NA 0 2 3 1 0 1/1 3/3 1/N
A 0 2 9 0 0 6 0 NA NA
Tba
m 1 2 4 4 3 3 2 2 2 2 1 2 0 0 1/1 1/1
1/N
A NA 3 4 1 3 1 0 0 NA
47
Annexure 2
Budgetary Proposal: District Health Society, Munger
FM
R
Co
de
Budget
Head/
Name
of
activity
Baseli
ne/Cur
rent
Status
(as on
Decem
ber
2011)
U
nit
of
m
ea
su
re
(in
wo
rd
s)
Physical Target (where applicable)
Unit
Cost
(in
Rs.)
Financial Requirement (in Rs.)
Com
mitted
Fund
requir
ement
(if any
in Rs.)
Respons
ible
Agency
(State/S
HSB/Na
me of
Develop
ment
Partner
)
Q1 Q2 Q3 Q4
Total
no of
Units
Q1 Q2 Q3 Q4
Total
Annual
proposed
budget
(in Rs.)
DI
ST
T.
*
St
at
e
T
ot
al
DI
S
T
T.
S
t
a
te
T
o
t
al
DI
S
T
T.
S
t
a
te
T
o
t
al
DI
S
T
T.
S
t
a
te
T
o
t
al
DI
S
T
T.
S
t
a
te
T
o
t
al
DI
S
T
T.
S
t
a
te
T
o
t
al
DI
ST
T.
S
t
a
te
T
o
t
al
DI
ST
T.
S
t
a
te
T
o
t
al
DI
ST
T.
S
t
a
te
T
o
t
al
DI
ST
T.
S
t
a
te
T
o
t
al
DIST
T.
S
t
a
te
T
o
t
al
A.1.1.1.1
Dissemination workshops for FRU Guidelines
0 0 RPMU
A.1.1.1.2
Monitor Progress and
1 1 1 1 4 1500
0
1500
0
1500
0
1500
0
1500
0
60000
DHS
48
quality of service Delivery
A.1.1.2
Operationalise 24X7 PHC (MCH Centre - APHC)
2 2 2 2 8 3300
0
6600
0
6600
0
6600
0
6600
0
264000
DHS
A.1.1.5
Operationalise Sub Centre (MCH Center - HSC)
0 1 1 0 2 5000
0 0
5000
0
5000
0 0
100000
DHS
A.1.3.1
RCH Outreach Camp / Others
3 6 6 3 18 1000
0
3000
0
6000
0
6000
0
3000
0
180000
DHS
A1.3.2a
DIST. MEETING(VHSND)
1 1 1 1 4 2500
2500
2500
2500
2500
1000
0
A.1.3.b
CONVERGENCE MEETIN
1 1 2500
2500
2500
49
G
A.1.3.c
CAPACITY BUILDING
1296
1296
2592
10
0
129600
129600
2592
00
A.1.3.2
Monthly Village and Nutrition Days POL
60
0
600
60
0
600
2400
10
0
6000
0
6000
0
6000
0
6000
0
240000
DHS
A.1.4.1
Home Deliveries
1000
1000
1000
1000
4000
50
0
500000
500000
500000
500000
2000
000 DHS
A.1.4.2
Institutional Delivery (Rural)
6000
1000
0
1100
0
8000
3500
0
2000
12000000
20000000
16000000
22000000
70000000
10000000
DHS
A.1.4.2.b
Institutional Delivery (Urban)
50
0
1000
1000
50
0
3000
1200
600000
120000
0
120000
0
600000
3600
000 DHS
A.1.4.2.c
Institutional Delivery C - Section
40
0
800
1200
40
0
2800
1500
600000
120000
0
180000
0
600000
4200
000 DHS
A.1.4.3
Administrative
2 4 4 3 13 3900
7800
1560
1560
1170
5070
00 DHS
50
Expenses
0 0 00 00 00
A.1.5
Maternal Death Review
21 21 21 21 84 75
0
1575
0
1575
0
1575
0
1575
0
63000
DHS
A.2.1.1
Implementation of IMNCI Activities in District
1 1 1 1 4 1500
0
1500
0
1500
0
1500
0
1500
0
60000
DHS
A.2.1.3
Incentive For HBNCto ASHA / AWW for 3 ANC
1500
3500
2500
2500
1000
0
100
150000
350000
250000
250000
1000
000 DHS
A.2.1.4
Incentive For HBNCto ASHA / AWW for 6 PNC
30
0
800
50
0
400
2000
25
0
7500
0
200000
125000
100000
5000
00 DHS
A.2.2
New born stabalisation unit
1 0 0 0 1 775000
775000
0 0 0 7750
00 DHS
51
(NBSU)
A.2.2.1
New born stabalisation unit (NBSU)- Maintanance & Equpment
0 1 0 1 1 200000
100000
100000
2000
00 DHS
A.2.6
NRC 1 1 1 1 4 361000
108300
0
108300
0
108300
0
108300
0
4332
000 DHS
A.2.7
ZIN, ORS (MISC)
1973
27.5
1973
27.5
1973
27.5
1973
27.5
7893
10 DHS
A.3.1.1
Dissemination of Manual Sterlisation & QA of Sterlisation Services
0 1 1 0 2 2000
0 0
2000
0
2000
0 0
40000
DHS
52
A.3.1.2
Female Sterlisation Camp
20 40 10
0
104
26
4
5000
100000
200000
500000
520000
1320
000 DHS
A.3.1.3
NSV Camps
2 1 3 4 10 5000
1000
0
5000
1500
0
2000
0
50000
DHS
A.3.1.4
Composition for Female Sterlisation
50
0
1000
2000
2500
6000
1000
500000
100000
0
200000
0
250000
0
6000
000
250000
0
DHS
A.3.1.5
Composition for male Sterlisation
25 35 50 70 18
0
1500
3750
0
5250
0
7500
0
105000
2700
00 DHS
A.3.1.6
Accreditation of Private Providers for Sterlisation services
70
0
800
80
0
800
3100
1500
105000
0
120000
0
120000
0
120000
0
4650
000
150000
0
DHS
A.3.2.2
Case for ANM / LHV
0 0 0 0 0 0 DHS
53
A.3.2.5
Contraceptive update Seminar
0 0 0 0 0 0 DHS
A.3.3
POL for Family Planning
0 0 4 5 9 2000
0 0 0
8000
0
100000
1800
00 DHS
A.3.5.4
Provide IUD Services at Health facility (IUD Camps)
9 9 9 10 37 3000
2700
0
2700
0
2700
0
3000
0
111000
DHS
A.4.2
School Health Programme Programme
125000
125000
125000
125000
500000
18
225000
0
225000
0
225000
0
225000
0
9000
000 DHS
A4.2.1
Semi Auto Analyzer (NPSGK
1 150000
150000
1500
00
A.4.3
Other Strategies (Menst
3750
0
3750
0
3750
0
3750
0
150000
12
8.49
481837
5
481837
5
481837
5
481837
5
19273500
DHS
54
rual Hygiene )
A.7.2
Other PNDT Activities (Monitoring of Sex ratio at Birth)
9 9 9 9 36 3000
2700
0
2700
0
2700
0
2700
0
108000
DHS
A7.2.1
Meeting/workshop/IEC
5 5 5 5 20 5275
2637
5
2637
5
2637
5
2637
5
105500
A.8.1.1
A' GRADE, (Salary of Contractual
40 2000
0
240000
0
240000
0
240000
0
240000
0
9600
000 DHS
ANMRs, (Salary of Contractual Staff Nurses)
16
5
1150
0
569250
0
569250
0
569250
0
569250
0
22770000
DHS
A.8.1.2
Laboratory Technic
3 1000
0
9000
0
9000
0
9000
0
9000
0
360000
DHS
55
ians(Laboratory Technicians in Blood Bank)
A.8.1.5
Medical Officers at CHCs / PHC (salary of Mos in Blood Bank)
1 3500
0
105000
105000
105000
105000
4200
00 DHS
A.8.1.7
Family Planning Counsellor
2 1500
0
9000
0
9000
0
9000
0
9000
0
360000
DHS
A.8.1.8
Incentive Awards etc. to SN,ANMs etc, (Muskaan Programme - Incentiv
6250
6250
6250
6250
2500
0
100
625000
625000
625000
625000
2500
000 DHS
56
e to ASHA and ANM )
A.9.1
Strengthening of Training Institutions (Repair / Rennovation of Training Institutions)
1
300000
0
0 0 0 0
3000000(Estimate send to SHSB)
DHS
A9.1.2
ANM LAB / Library
1
130000
0
130000
0
1300
000
A9.1.3
ANM Faculty
1 2050
0
6150
0
6150
0
6150
0
6150
0
246000
A9.1.3.1
Human resource
5 129000
129000
129000
129000
5160
00
A.9.3.1
Skilled attendance at
0 13 0 13 26 8811
0 0
114543
0 114543
2290
860 DHS
57
Birth 0 0
A.9.3.2
Comprehensive EMOC Training (Including C - Section)
0 5 0 5 10 6369
0 0
318450
0 318450
6369
00 DHS
A.9.3.4
MTP Training
3 5 5 4 17 8694
0
260820
434700
434700
347760
1477
980 DHS
A.9.3.7
RTI / STI Training
0 2 2 1 5 5000
0 0
100000
100000
5000
0
250000
DHS
A.9.3.6
B Emoc Training
0 1 1 0 2 6500
0 0
6500
0
6500
0 0
130000
DHS
A.9.4
IMEP Training
0 0 0 0 0 0 DHS
A.9.5
Child Health Training
0 0 0 0 0 0 DHS
A9.5.a
District skil LAB(All Training in
1
200000
0
200000
0
2000
000
58
Distt.)
A.9.5.1
IMNCI 6 888260
222065
222065
222065
222065
8882
60 DHS
A.9.5.2
1 2 2 2 7 5290
0
5290
0
105800
105800
105800
3703
00 DHS
A.9.6.2
Mnilap Training
1 1 1 1 4 7024
0
7024
0
7024
0
7024
0
7024
0
280960
DHS
A.9.6.3
NSV Training
0 0 1 1 2 3390
0 0 0
3390
0
3390
0
67800
DHS
A.9.6.4.1
Training of MO in IUD Insertion
1 0 0 0 1 5530
0
5530
0 0 0 0
55300
DHS
A.9.6.4.2
Training of ANM / LHV in IUD Insertion
1 1 1 0 3 294425
294425
294425
294425
0 8832
75 DHS
A.9.8.2
DPMU Training
0 2 2 0 4 2500
0 0
5000
0
5000
0 0
100000
DHS
A.9.11.
Community
0 2 2 0 4 2500
0 5000
5000
0 1000
00 DHS
59
3.2 Visit for Students and Teachers
0 0 0
A.10.1.5
Mobility Support (District Malaria Office)
3 3 3 3 12 1500
0
4500
0
4500
0
4500
0
4500
0
180000
DHS
A.10.2.1
DPMU Staff Recruited and in position
3 3 3 3 12 108743
326229
326229
326229
326229
1304
916 DHS
A.10.2.2
Provision of Equipment / furniture and Mobility support of DPMU Staff
3 3 3 3 12
9546
6.66
2863
99.98
2863
99.98
2863
99.98
2863
99.98
1145
599.92
DHS
A.10.2.
DHS DEO
3 1500
1350
1350
1350
1350
5400
00
60
2.3 Salary 0 00 00 00 00
A.10.2.2.4
Offoce assistant for DHS
2 9000
5400
0
5400
0
5400
0
5400
0
216000
A.10.2.2.5
4th Grade Staff for DPMU
3 5000
4500
0
4500
0
4500
0
4500
0
180000
A.10.2.2.6
Meeting,Furniture etc of DHS
416000
104000
104000
104000
104000
4160
00
A.10.3
Strenghening of BLOCK PMU
27 27 27 27 10
8
6743
0
182061
0
182061
0
182061
0
182061
0
7282
440 DHS
A.10.4.1.
Tally purchase for RAM
0 0 0 0 0 0 DHS
A 10.4.2
Renewal Upgradation
1 0 0 0 1 8100
8100
0 0 0 8100 DHS
A10.4.3
AMC (DHS)
0 0 1 1 2 2500
0 0 0
2500
0
2500
0
50000
DHS
A.10.4.
Training on
0 0 0 0 0 0 DHS
61
5 Tally
A10.4.6
Training in Accounting Procedure
1 1 1 1 4 2500
0
2500
0
2500
0
2500
0
2500
0
100000
DHS
A.10.4.7
Capacity Building &Exposure Visit of Accounting Staff
0 0 0 0 0 0 DHS
A 10.4.8
RPMU 0 0 0 0 0 0 DHS
A 10.4.9
Management Unit of FRU (Hospital Manager and FRU Accountant)
4 4 4 4 16 7437
5
297500
297500
297500
297500
1190
000 DHS
A Office 2 40 24 24 24 24 9600
62
10.4.9.1
maintanant for FRU
00 000
000
000
000
0
A10.5.1
Annual Audit of the Programme (Statutory Audit)
0 0 0 10 10 9000
0 0 0 9000
0
90000
DHS
A 10.6
Concurrent Auditor (District)
30 30 30 30 12
0
2200
6600
0
6600
0
6600
0
6600
0
264000
DHS
A 10 .7
Mobility Support to BMO /MO and other
0 0 0 0 0 0 DHS
TOTAL (A) 19106670
0.9
DHS
B.1.1.1
Slection and Training of ASHA
8 8 8 8 32 7255
0
580400
580400
580400
580400
2321
600 DHS
63
B 1.1.2
Procurement of ASHA Drug kit and Replenishment
96
1 0 0 0
961
50
0
480500
0 0 0 4805
00 DHS
B1.1.2.1
ASHA SARI & etc.
96
1
961
50
0
480500
4805
00
B1.1.3
ASHA Diwas (TA /DA to ASHA Diwas)
2883
2883
2883
2883
1153
2
150
3603
7.5
3603
7.5
3603
7.5
3603
7.5
144150
DHS
B.1.1.4.A
Best Award to ASHA at District Level
0 0 0 27 27 3000
0 0 0 8100
0
81000
DHS
B 1.1.4.C
ASHA Identity Card
96
1 0 0 0
961
10
0
9610
0 0 0 0
96100
DHS
B 1.1.4.C.1
Construction of Asha restroom
0 3 3 4 10 325000
812500
812500
812500
812500
3250
000
B Salary 1 25 75 75 75 75 3000 DHS
64
1.1.5.1
of DCM 000
000
000
000
000
00
B 1.1.5.2
Salary of DDA
1 2000
0
6000
0
6000
0
6000
0
6000
0
240000
B 1.1.5.3
Salary of BCM
9 1680
0
453600
453600
453600
453600
1814
400
B1.1.5.4
Office Expenses
104000
2600
0
2600
0
2600
0
2600
0
104000
B1.1.5.5
Asha facilitator
48 48 2520
0
302400
302400
302400
302400
1209
600
B1.1.5.6
Training of ASHA facilitator
48 48 57
96.5
6955
8
6955
8
6955
8
6955
8
278232
B 2.1
Untied fund for SD Hospital
0 1 0 0 1 5000
0 0
5000
0 0 0
50000
DHS
B.2.2.A
Untied fund for PHC
0 9 0 0 9 2500
0 0
225000
0 0 2250
00 DHS
B.2.2.B
Untied fund for APHC
0 21 0 0 21 2500
0 0
525000
0 0 5250
00 DHS
65
B.2.3
Untied fund for Sub Centres
0 15
5 0 0
155
1000
0 0
155000
0
0 0 1550
000 DHS
B.2.4
Untied fund for VHSC
0 48
9 0 0
489
1000
0 0
489000
0
0 0 4890
000 DHS
B 3.1
AMG for CHC
0 1 0 0 1 100000
0 100000
0 0 1000
00 DHS
B 3.1.A
AMG for SDH
0 1 0 0 1 100000
0 100000
0 0 1000
00 DHS
B 3.2
AMG for PHC
0 9 0 0 9 5000
0 0
450000
0 0 4500
00 DHS
B 3.2.A
AMG for APHC
0 21 0 0 21 5000
0 0
105000
0
0 0 1050
000 DHS
B.3.3
AMG for Sub centre
0 15
5 0 0
155
1000
0 0
155000
0
0 0 1550
000 DHS
B 4.1.1.B
Bed for Sadar Hospital,PHC,SDH
43
0
8000
860000
860000
860000
860000
3440
000
B 4.2.
Installation of
0 0 4 0 4 4000
0 0 1760
0 1760
000 DHS
66
A Solar Water Heater System
0 000
B 4.3
Sub Centre Rent and Contigencies
30
0
300
30
0
300
1200
50
0
150000
150000
150000
150000
6000
00 DHS
APHC RENT
30 30 30 30 12
0
800
2400
0
2400
0
2400
0
2400
0
96000
DHS
B 5.2.A
Construction of APHC
0 5 5 0 10
531500
0
0
26575000
26575000
0 53150000
DHS
B 5.2.B
Construction of Residential Qaurter and Staff Nurses
0 0 DHS
B.5.2.C
Strengthening of Cold Chain
10 110000
275000
275000
275000
275000
1100
000 DHS
B 5.3
HSC Construction
85 100000
212500
212500
212500
212500
85000000
DHS
67
0 00 00 00 00
B .5.10.2
ANM SCHOOL
1 0 0 0 1 500000
500000
0 0 0 5000
00 DHS
B 6.1
RKS of District Hospital (Corpus Grants)
1 0 0 0 1 500000
500000
0 0 0 5000
00 DHS
B 6.2
RKS of Refferral Hospital /SDH (CHC)
1 0 0 0 2 200000
400000
0 0 0 4000
00 DHS
B 6.3
RKS for PHC (Corpus Grants)
1 9 100000
900000
0 0 0 9000
00 DHS
B 6.4
RKS for APHC (Corpus Grants)
1 21 100000
210000
0
0 0 0 2100
000 DHS
B.7.1
DHAP Work shop of District
1 1 0 2 2500
0 0 0
2500
0
2500
0
50000
DHS
B.7.2
Salary of DPC
1 2500
0
7500
0
7500
0
7500
0
7500
0
300000
DHS
B.7. BHAP 9 50 11 11 11 11 4500 DHS
68
3 workshop
00 250
250
250
250
0
B.7.4
HSC Planed
15
5
1500
0 7750
0
7750
0
7750
0
232500
DHS
B.7.5
Computer Assistant for Planning sale
1 6000
1800
0
1800
0
1800
0
1800
0
72000
DHS
B.7.6
One laptop for planning
1 3500
0
3500
0
35000
B7.7
Mobile recharge for DPC
12 50
0
1500
1500
1500
1500
6000
B7.8
Mobility for DPC
12 1200
3600
3600
3600
3600
1440
0
B8.1
constitution and orientation of community leders of
10
1
100
3030
0
3030
0
3030
0
3030
0
121200
69
VHSC.CHC.PHC.HSC.etc
B8.1.1
POL for Monitoring
10
1
100
9090
0
9090
0
9090
0
9090
0
363600
B 8.2
Orientation , workshop Training and Capacity Building of PRI at District Level, PHC Level
15
1
6815
0
6815
0 0 0 0
68150
DHS
B 8.3
0 0 DHS
B 9.1
Maintreaming of Ayush - Medical officersat DH / CHCs /
0 0 DHS
70
PHCs (Only Ayush)
B 9.1.A
Mainstreaming of Ayush Specialist
22 2000
0
132000
0
132000
0
132000
0
132000
0
5280
000 DHS
B 9.2
0 0 DHS
B 9.3.1
0 0 DHS
B 10.1
Development of BCC / IEC strategy
0 200000
140000
170000
170000
6800
00 DHS
B 10.1
Development of BCC / IEC strategy
0 0 DHS
B 10.3
Health Mela Leprosy
1 5000
5000
0 0 0 5000 DHS
B. 11
MMU 3 3 3 3 12 468000
140400
140400
140400
140400
5616
000 DHS
71
0 0 0 0
B12.2.A
0 0 DHS
B 12.2.B
0 0 DHS
B 12.2.C
108 Ambulance
1 143829
431487
431487
431487
431487
1725
948 DHS
B 12.2.D
Refferral Transport in District
30 30 30 30 12
0
125000
375000
0
375000
0
375000
0
375000
0
15000000
DHS
B 13.3.A
0 0 DHS
B 13.3.B
Pathology and radilogy Srvices
30 30 30 30 12
0
200000
600000
0
600000
0
600000
0
600000
0
24000000
DHS
B.13.3.D
Bio Waste Management
27 27 27 27 10
8
1044
4.44
282000
282000
282000
282000
1128
000 DHS
B.14.A
Sabla training
10
7212
6.25
7212
6.25
7212
6.25
7212
6.25
2885
05 DHS
B14 Sabla 12 3.5 44 4417
72
.A.1
IEC 62 17
B 14.B
YUKTI 38
3
7037
5
7037
5
7037
5
7037
5
281500
DHS
B 15.1.1.A
RPMU (Divisional Data centre)
0 0 DHS
B 15.1.2
0 0 DHS
B 15.2.1
Quality Assuarance FFHI
10 600000
150000
0
150000
0
150000
0
150000
0
6000
000 DHS
B15.2.1.1
Quality assurance ISO TARAPUR
1
100000
0
100000
0
1000
000
B15.2.2
Quality Assuarance training
10 5000
1500
0
1500
0
1500
0
1500
0
60000
B15.2.3
Quality assurance monitoring
10 1200
3600
0
3600
0
3600
0
3600
0
144000
73
B 15.3.1.A
Block Data Center@12000Rs
22 1200
0
792000
792000
792000
792000
3168
000 DHS
B 15.3.2.A
MCTS and HRIS Training at District Level (Upgradation)
10 6250
0
6250
0
6250
0
6250
0
250000
DHS
B15.3.2.a.1
MCTS DEO@12000
2 1200
0
7200
0
7200
0
7200
0
7200
0
288000
B 15.3.2.B
RI Monitoring
0 6000
0
6000
0
6000
0
6000
0
240000
DHS
B 15.3.2.C
0 0 DHS
B 15.3.2.D
0 0 DHS
B 15.3.3.
External Hard Disk for
11 5000
5500
0 0 0 0
55000
DHS
74
A 9 PHC and one Sadar Hospital
B 15.3.3.B
Plan For HMIS Supportive Supervision and data Validation
36 , 48 &1
5665
0
5665
0
5665
0
5665
0
226600
DHS
B 16.1.1
Procurement of Equipment : MH (Labour Room)
11 365660
365660
365660
365660
1462
640
300000
0
DHS
B 16.1.2
SNCU Equipment (Maintance)
10 7500
0
7500
0
7500
0
7500
0
300000
DHS
B 16.3.A
Procurement of Minilap
45 5000
245000
0 0 0 2450
00 DHS
75
Sets
B 16.1.3.B
NSV Kit 45 1500
6750
0 0 0 0
67500
DHS
B 16.3.C
IUD Kit 4 1500
0
1500
0
1500
0
1500
0
1500
0
60000
DHS
B 16.1.5.A
Procurement of Dental Chair
10 283500
0
141750
0
141750
0
0 2835
000 DHS
B 16.1.5.B
Equipment of Blood bank for SDH TARAPUR
1 0
100000
0
0 0 1000
000 DHS
B. 16.1.5.C
Ac 1.5 Ton window
1 5000
0 0
5000
0 0 0
50000
DHS
B 16.2.1.A
Parental IRON sucroes(IM /IV)
1 500000
0 500000
0 0 5000
00 DHS
B 16.2.1.B
IFA Tablets for Pregna
5785
8 8 0
822568
0 0 8225
68 DHS
76
nt Woman and Lactating Mothers
B 16.2.2.A
Small IFA Tablets for Children 6 - 59 Months)
180002
0
102398
1
0 0 1023
981 DHS
B.16.2.2.B
IMNC Drug Kit
2500
25
0 0 0
625000
0 6250
00 DHS
B.16.2.5
General drugs and Supplies for Health Facility
117908
6
7
206340
0
206340
0
206340
0
206340
0
8253
600 DHS
B 17
0 0 DHS
B 18.1
Bio Metric System
10 3000
0
300000
3000
00 DHS
B 18.
0 0 DHS
77
2
B 19
0 0 DHS
B 20
0 0 DHS
B 21
0 0 DHS
B 22.4
Support Strenghtening RNTCP
10 1000
0
300000
300000
300000
300000
1200
000 DHS
B 22.4
Support Strenghtening RNTCP
1 8500
2550
0
2550
0
2550
0
2550
0
102000
DHS
B 23.A
(AMC)Biometric Equipment Maintenance
11 2500
0
3175
0
3175
0
3175
0
3175
0
127000
DHS
TOTAL (B) 25655919
1 DHS
C.1.A
Supervision of RI session by DIO and District
30 2500
0
7500
0
7500
0
7500
0
7500
0
300000
DHS
78
officials
C.1.B
0 0 DHS
C.1.C
Priniting and Dissemination of Immunization Formats, Monitoring formats and Tally Sheets
1500
0
1500
0
1500
0
1500
0
6000
0 5
7500
0
7500
0
7500
0
7500
0
300000
DHS
C 1.D
0 0 DHS
C 1.E
Quarterly Review meeting exclusive for RI
2283
2283
2283
2283
9132
10
0
228300
228300
228300
228300
9132
00 DHS
C1.F
REVIEW MEETING
2518
75 188850
188850
188850
188850
7554
00
79
C.1.G
Focus on Slum and underserved areas in urban Areas / Alternative Vaccinators for Slums
2040
123000
123000
123000
123000
4920
00 DHS
C.1.H
Mobilisation of Children Through ASHA /AWW
2322
0
8881
7
8881
7
8881
7
8881
7
355268
DHS
C.1.I
Ulternate Vaccine Delivery in Hard to Reach Areas
18 18 18 18 72 15
0
2700
2700
2700
2700
1080
0 DHS
C.1.J
Ulternate Vaccine
5787
5787
5787
5787
2314
8 50
289350
289350
289350
289350
1157
400 DHS
80
Delivery in other Areas
C.1.K
To Develop Microplan at Sub Centre Level
38 38 38 41 15
5
225
8711
8711
8712
8711
3484
5 DHS
C.1.L
Consolidation of Microplan at Block Level
9 0 0 0 9 1500
1350
0 0 0 0
13500
DHS
C.1.L
Consolidation of Microplan at District Level
1 0 0 0 1 2500
2500
0 0 0 2500 DHS
C.1.M
POL for Vaccine and Logistic Delivery from
3 3 3 3 12 4166
1250
0
1250
0
1250
0
1250
0
50000
DHS
81
state to district
C.1.M
POL for Vaccine and Logistic Delivery from District to PHC
27 27 27 27 10
8
1000
2700
0
2700
0
2700
0
2700
0
108000
DHS
C.1.N
Consumables for Computer Including Provision for Internet Access
3 3 3 3 12 60
0
1800
1800
1800
1800
7200 DHS
C.1.O
Red / Black Plastic Bags
5805
5805
5805
5805
2322
0 5
2902
5
2902
5
2902
5
2902
5
116100
DHS
C.1.P
TWIN BUCCET
11 1000
1100
0 0 0 0
11000
DHS
C.1.P
TWIN BUCCET
11 1800
1980
0 0 0 1980
0 DHS
82
0
C.1.Q
Safety Pits
0 11 0 0 11 6500
0 7150
0 0 0
71500
DHS
C.1.R
Ulternate Vaccinator Hiring For Access Compromised Areas/ Pol for Cold Chain and For serious AEFI Case Investigation
50 2000
2000
2000
2000
2000
8000 DHS
C.1.R
ILR/DEEP FREEZER /POL FOR APHC
20
180000
0
180000
0
180000
0
180000
0
7200
000 DHS
C.2.A
0 0 DHS
83
C.2.B
Computer Assistant Support for District Level
3 3 3 3 12 1200
0
3300
0
3300
0
3300
0
3300
0
132000
DHS
C.3.A
District Level Orientation Training including Hep - B, Measles, JE, for 2 Days
0 17
5
177
0 35
2
1545
0 272650
272650
0 5453
00 DHS
C.3.B
0 0 DHS
C.3.C
0 0 DHS
C.3.D
One day Cold Chain Handlers Trainin
10 1500
0 0 0 0
15000
DHS
84
g
C.3.E
One day Training of Block Level Data Handlers
10 1500
0 0 0 0
15000
DHS
C.4
Cold Chain Maintenance Vaccine Vehicle
1 2500
0
6250
6250
6250
6250
2500
0 DHS
C.4
Cold Chain Maintenance for ILR / DF for District
1 1500
0
4000
4000
4000
3000
1500
0 DHS
C.4
Cold Chain Maintenance for ILR / DF for Block
10 5000
1250
0
1250
0
1250
0
1250
0
50000
DHS
CPP 1259 enclose
85
6 0400 d additional sheet
TOTAL (C ) 25314213
D :IDD
IDD 0 908750
908750
908750
908750
3635
000 DHS
E -5 IDSP : Epidimeologist
0 219000
219000
219000
219000
8760
00 DHS
E -5
IDSP : Data Manager
0 0 DHS
E -5
IDSP : Data Manager
0 0 DHS
TOTAL ( E ) 8760
00
F 1.1 A
Malaria MPW
24 1750
0 0
420000
0 0 4200
00 DHS
F1.1.B
Malaria ASHA Honorarium
60
0
100
0 6000
0 0 0
60000
DHS
F 1.1 B
Malaria ASHA Honorarium
12
0
200
0 2400
0 0 0
24000
DHS
86
for KA part -II B
F 1.1.D
Monitoring , evaluation , supervision and Epidemic Preparedness including Mobility
1 0 8000
0 0 0
80000
DHS
F.1.1.E
IEC/ BCC
0 ` 0 3000
0 0 0
30000
DHS
F1.1.G
Training and capacity Building
0 0 DHS
F 1.2
DENGUE
0 0 400000
400000
0 8000
00 DHS
F.1.3
0 0 DHS
87
F 1.4 A
Filaria 0 375000
375000
375000
375000
1500
000 DHS
F 1.4.B
Filaria 0
178600
0
0 0 0 1786
000 DHS
F 1.4.C
Filaria 0 400000
0 0 0 4000
00 DHS
F 1.4.D
Filaria 0
142800
0
0 0 0 1428
000 DHS
F1.4.E
Filaria 0 204210
0 0 0 2042
10 DHS
F 1.4 F
Filaria 24 2500
0
7500
0
7500
0
7500
0
7500
0
300000
DHS
F 1.5 Part - I
Kalazar STAFF EXP.
72 1102
5
793800
0 0 0 7938
00 DHS
F 1.5 Part -II
Material & Maintenance
72 1300
9360
0 0 0 0
93600
DHS
F 1.5 Part -
Vachile 10 2640
2640
0 0 0 0
26400
DHS
88
III
F 2.1 Part - IV
IEC 11 37
54.5
4130
0 0 0 0
41300
DHS
TOTAL (F) 7987
310
G 1 LAP 1 5000
1500
0
1500
0
1500
0
1500
0
60000
DHS
G 2
Sensatization to ASHA
0 0 DHS
G 2.2
Honorarium to ASHA
0 178000
0 0 0 1780
00 DHS
G 3 0 0 DHS
G 3.1
Office Expenses
0 1800
0 0 0 0
18000
DHS
G 3.2
Stationary
0 1400
0 0 0 0
14000
DHS
G 4
Capacity Building &Exposure
0 326000
0 0 0 3260
00 DHS
89
G 4.1
two Days Modular Training to New Mos
0 0 DHS
G 4.2
One Day Orientation Training for Supervisors
0 0 DHS
G 4.3
One day Refreshment Training
0 0 DHS
G 5 0 0 DHS
G 5.1
School Quiz
0 6700
0 0 0 0
67000
DHS
G 5.2
Health Fair
0 0 DHS
G 5.3
Wall Painting
0 0 DHS
G Celebra 0 0 DHS
90
5.4 tion of Leprosy day
G 6
POL / Operation and Hiring
12 4500
0
4500
0
4500
0
4500
0
180000
DHS
G 7 0 5000
0 0 0 0
50000
DHS
G7.2
Aids and Appliances
0 0 DHS
G 7.3
welafare Allowances
0 0 DHS
G 8
Material and Supplies supportive Drugs
0 5000
0 0 0 0
50000
DHS
G 8.1
Supportive Medicines
0 0 DHS
G 8.2
Laboratory Reagen
0 2400
0 0 0 0
24000
DHS
91
ts
G 9
Urban Leprosy control Programme
0 200000
0 0 0 2000
00 DHS
G 11
0 0 DHS
G 12
0 0 DHS
TOTAL (G) 1167
000
H .1
Cataract Operations
92
5
2000
0 0 0
185000
0
1850
000 DHS
H 1.3
School Eye screening Programme
20
0
3000
0 0
3000
0
3000
0 0
60000
DHS
H 1.5
Salary Review Meetings
0 0 DHS
H 1.9
Recruiting GIA fro Training
0 0 DHS
H Recurri 0 25 25 25 25 1000 DHS
92
.1.10
ng GIA for IEC
000
000
000
000
00
H.1.13
Recurring GIA for Strenghthening Sadar Hospital
0 0 DHS
H.1.11
Recurring GIA for Procurement
0 0 DHS
H.1.12
Recurring GIA for maintenance for opthalmic Equipments
0 8000
0 0 0 0
80000
DHS
H 2.3
Non Recurring GIA for Vision
2 0 5000
0
5000
0 0
100000
DHS
H 2.4
Non Recurri
0 0 DHS
93
ng GIA for Eye Bank
H 2.5
Non Recurring GIA for Eye Donation Centre
0 0 DHS
H.2.7
Non Recurring GIA for Eye Wards and Eye OT
0 0 DHS
H.3.1
Honorarium for Opthalmic Surgeon
3 3500
0
315000
315000
315000
315000
1260
000 DHS
H.3.2
Honorarium for OT Assistant
6 1500
0
270000
270000
270000
270000
1080
000 DHS
H.1.13
S.H.STORGTH
0 500000
500000
500000
500000
2000
000 DHS
94
TOTAL (H) 6530
000
TB 0 0 DHS
I. 1 Civil Works
6 560000
0 0 0 5600
00 DHS
I. 2 Lab Consumables
0 200000
0 0 0 2000
00 DHS
I. 3 Honorarium
1420
400000
0 0 0 4000
00 DHS
I. 4 IEC/ BCC
10 217000
0 0 0 2170
00 DHS
I. 5
Equipment Maintenance
21 5000
0 0 0 0
50000
DHS
I. 6 Training
1566
650000
0 0 0 6500
00 DHS
I. 7 Vehicle maintenance
2 5000
0 0 0 0
50000
DHS
I. 8 Vehicle Hiring
3 351000
0 0 0 3510
00 DHS
I. 9 NGO 2 300000
0 0 0 3000
00 DHS
I. Medical 0 0 DHS
95
10 College
I. 11
Miscellaneous
0 180000
0 0 0 1800
00 DHS
I. 12
Contractual Services (MO)
1 0 DHS
I. 13
Contractual Services (STLS)
2 336000
0 0 0 3360
00 DHS
I. 14
Contractual Services (STLS)
2 336000
0 0 0 3360
00 DHS
I. 15
TV HV 2 234000
0 0 0 2340
00 DHS
I. 16
LT 6 684000
0 0 0 6840
00 DHS
I. 17
Accountant
1 3800
0 0 0 0
38000
DHS
I. 18
TB Supervisor
1 189000
0 0 0 1890
00 DHS
I. 19
Procurement of Vehicle
1 5000
0 0 0 0
50000
DHS
I. Researc 0 0 DHS
96
20 h and Studies
I. 21
Procurement of Equipment
0 160000
0 0 0 1600
00 DHS
I. 22
Procurement of Equipment
1 114000
0 0 0 1140
00 DHS
TOTAL (I) 5099
000
National Tobacco Control Programme, Munger
0 0 DHS
J.1
Payment, Training, Office Exp. School Prog., Mononitring, Furnitu
0 544000
544000
544000
544000
2176
000 DHS
97
re/Futures etc.
J.2
MAMTA TRAINING & INCENTIVE
0
75000000
75000000
75000000
75000000
30000000
0 DHS
98
PULSE POLIO, DISTRICT HEALTH SOCIETY,MUNGER
HEAD & CODE PHYSICAL TARGET FINANCIAL TARGET
CPP 6.1 7230 542250
CPP 6.2 1060 79500
CPP 6.6 1060 106000
CPP 6.4 210 136500
CPP 6.5 A 23600 70800
CPP 6.5 B (CONTIGENCY HQ) 3000
CPP 6.7 935 23375
CPP 6.8 14 4900
CPP 6.9 20 22750
CPP 6.10 355 26625
CPP 6.12 10 11000
CPP 6.13 9 22500
CPP 6.14 (A-TEAM) 34503 1049200
CPP 6.14 (B-TEAM) 12405 209840
TOTAL (A+B) 1259040
1259040 X 10 12590400
SUMMARY TOTAL OF DHAP, MUNGER 2012-13
SUMMARY TOTAL
A 191066700.9
B 256559191
C 12590400
D 3635000
E 876000
F 7987310
G 1167000
H 6530000
I 5099000
J 2176000
Mamta 300000000
PULSE POLIO 12590400
TOTAL 800277001.9